多发性硬化症的职业治疗.
Daphne Kos1,2, Ashley Boers1, Ciara O'Meara3
1KU Leuven, Department of Rehabilitation Sciences, Research Group for Neurorehabilitation, Leuven, Belgium.
The Cochrane database of systematic reviews
|January 20, 2026
概括
职业治疗 (OT) 可以提高多发性硬化症 (MS) 患者的日常功能和心理健康相关的生活质量. 然而,关于长期影响和身体生活质量的证据仍然不确定,没有报告的不良影响.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 职业疗法 职业疗法 职业疗法
背景情况:
- 多发性硬化症 (MS) 影响日常活动,职业治疗 (OT) 被认为是关键的支持.
- 对于患有多发性硬化症的人来说,OT的确切好处需要进一步澄清.
研究的目的:
- 系统地评估OT干预措施对改善MS患者日常功能,参与和生活质量的好处和危害.
- 评估干预后,中期和长期随访点的结果.
主要方法:
- 在七个电子数据库,灰色文献和试验登记册中进行了全面的搜索,直到2024年11月.
- 包括随机和非随机对照试验,比较成年MS患者的OT与没有干预,常规护理或主动对照.
- 使用了元分析 (随机效应模型) 和叙事合成,并使用GRADE来评估证据的确定性.
主要成果:
- OT干预可能在干预后的日常功能中提供小到中等的好处,与常规护理相比,可能有中期好处.
- 与主动对照相比,在干预后和中期观察到与心理健康相关的生活质量 (HR-QoL) 的小益处.
- 关于长期影响,身体HR-QoL,参与和不良影响的证据有限或非常不确定.
结论:
- 职业治疗显示出改善MS患者的日常功能和心理HR-QoL的潜力,特别是在短期到中期.
- 关于长期结果和物理HR-QoL的证据基础目前有限,需要谨慎解释.
- 未来的高质量研究是必要的,以确定关于OT在MS管理中的有效性的最终结论.
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