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Intervention strategies that support self-care activities: an integrative study across chronic disease/disability groupings: Integrative review protocol. 支持自我保健活动的干预策略:一项跨慢性病/残疾分组的综合研究:综合评价方案
Pub Date : 2010-03-25 DOI: 10.11124/JBISRIR-2010-840
C. Godfrey, M. Harrison, R. Lysaght, Marianne Lamb, I. Graham, Patricia Oakley
Review Objectives/Questions: The objective is to perform a cross-cutting, integrative study to determine the ‘state of knowledge’ relevant to interventions for self-care. The overall research Question for the integrative study is: What is the evidence on interventions to initiate or enhance individuals’ self-care activities across population groups in the Cochrane repository of systematic reviews? Criteria for considering studies for this review: Types of participants: This integrative study will consider systematic reviews that focus on individuals who engage in or have the potential to engage in self-care activities. For example, individuals who have the potential to engage in a new (perhaps specific) self-care activity would be individuals recently diagnosed with a chronic disease such as asthma or diabetes mellitus. Individuals who currently engage in self-care activities (but may require ongoing support or encouragement) would be individuals who currently perform self-care activities to address chronic disease, injury or disability. Changes in life, such as a decrease in visual acuity with aging, may require an adaptation of self-care activities. Types of interventions)/phenomena of interest: This integrative study will consider systematic reviews that describe intervention strategies focused on initiating or enhancing self-care activities. Types of outcomes: Outcomes of interest for this study include: the successful engagement of the individual in self-care activities` the sustainment of self-care activities` or health outcomes. The successful engagement in self-care activities would be indicated by the individual actively performing all (or some aspects) of a new self-care behaviour. For example, a child recently diagnosed with diabetes mellitus may begin to check their own blood sugar levels but rely on a parent to inject the insulin. The sustainment of self-care activities would be indicated by the individual actively continuing to perform a self-care behaviour that was already part of their repertoire. For example, an adolescent diagnosed with asthma as a child and who continues to use an inhaler to prevent asthmatic attacks. These outcomes would generally be measured by observation or self-report through Questionnaires or participant diaries. In some situations, for example with children, parents may provide the report on the outcomes.
综述目的/问题:目的是进行一项跨领域的综合研究,以确定与自我保健干预措施相关的“知识状态”。综合研究的总体研究问题是:在Cochrane系统评价库中,有什么证据表明干预措施可以启动或增强不同人群的个人自我保健活动?本综述考虑研究的标准:参与者类型:本综合研究将考虑关注参与或有潜力参与自我保健活动的个体的系统评价。例如,最近被诊断出患有慢性疾病(如哮喘或糖尿病)的个体可能有可能从事一种新的(可能是特定的)自我保健活动。目前从事自我护理活动(但可能需要持续的支持或鼓励)的个人将是目前正在进行自我护理活动以解决慢性疾病,伤害或残疾的个人。生活的变化,如随着年龄的增长视力下降,可能需要自我照顾活动的适应。干预类型)/感兴趣的现象:本综合研究将考虑系统综述,描述以启动或加强自我保健活动为重点的干预策略。结果类型:本研究感兴趣的结果包括:个体在自我护理活动中的成功参与、自我护理活动的维持或健康结果。成功地参与自我照顾活动将由个人积极地执行所有(或某些方面)新的自我照顾行为来表示。例如,一个最近被诊断患有糖尿病的孩子可能会开始检查自己的血糖水平,但依靠父母注射胰岛素。自我照顾活动的维持将通过个人积极地继续执行已经是他们技能的一部分的自我照顾行为来表示。例如,一名青少年在儿童时期被诊断患有哮喘,并继续使用吸入器来预防哮喘发作。这些结果通常通过观察或通过问卷调查或参与者日记的自我报告来衡量。在某些情况下,例如对孩子,父母可能会提供关于结果的报告。
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引用次数: 0
A systematic review on the effectiveness of nurse-led cardiac clinics for adult patients with coronary heart disease. 护士主导心脏门诊治疗成年冠心病患者效果的系统综述
Pub Date : 2010-02-16 DOI: 10.11124/01938924-201008020-00001
Verena Schadewaldt, T. Schultz
Aim Nurse‐led clinics offer the possibility of patient education, support and continuity of care for patients with Coronary Heart Disease (CHD) to address and reduce risk factors. The objective of this review is to present the best available evidence related to nurse‐led cardiac clinics for adults with CHD by updating an existing systematic review. Methods Twenty databases for published literature and 11 databases or websites for unpublished literature were searched for the period September 2002 to March 2008. Additionally, reference lists of retrieved articles were reviewed and relevant journals were hand searched. Assessment for methodological quality, data extraction and synthesis was undertaken using a systematic review management tool (JBI‐SUMARI). Results Seven RCTs formed the basis for this systematic review, however, in many cases meta‐analysis was not possible because of a lack of relevant data. The major nurse‐led intervention applied in the clinics consisted of health promotion through educating and counselling the patients. There were no harmful effects on patients with CHD identified when exposed to a nurse‐led clinic. Few risk factors were significantly reduced by attending nurse‐led clinic, but particular in the long‐term no success in risk factor reduction was achieved. Difficulties were obvious in modifying behaviour changes concerning smoking cessation and diet adherence. Nurse‐led clinics may positively influence perceived quality of life and general health status, especially physical functioning. Conclusion The results indicated that care was equivalent to non‐nurse led clinics, and there was no greater risk of poorer outcomes in the nurse‐led clinics. The effectiveness of clinics might be dependent on the intensity of the nursing support. The combination of counselling and regular assessment of risk factors and health status delivered at nurse‐led clinics is supported by the available research, and given that outcomes were in general equivalent between nurse‐led and other clinics, further research should investigate the cost effectiveness of the different models of care. Implication for practice Before establishing a nurse‐led clinic appropriate qualification and responsibilities, as well as the particular structure of the health care system and funding possibilities have to be considered. Implication for research Additional research on the effectiveness of selected interventions in nurse‐led clinics is necessary. A systematic review on cost‐effectiveness should be undertaken.
回顾问题/目的回顾问题是:与其他诊所的干预措施相比,护士领导的心脏病诊所对成年冠心病患者的护理效果如何?定量目标是确定护士主导的心脏诊所对成年冠心病患者的有效性。更具体地说,目的是确定心脏病护士提供的干预措施在以下方面最有效:•再入院率•冠心病症状恶化•减少风险因素•患者满意度和与风险因素减少和生活方式改变相关的依从性。纳入标准参与者类型本综述将纳入到心脏病护士领导的诊所就诊的患有新发或现有冠心病的成人(年龄在bb0 - 18岁)。干预措施的类型审查将考虑护士主导的心脏病诊所,定义为为顾客提供服务的诊所,该诊所完全由护士管理和配备人员,具有评估、治疗、咨询或根据要求将消费者转介到其他健康学科的能力。感兴趣的干预措施是那些与护士管理的心脏诊所工作人员的共同作用有关的干预措施,包括教育、评估和监测、咨询、转诊和行政职责。护士领导的诊所将与任何其他形式的诊所进行比较,这些诊所不是在完全由护士领导的环境中进行的,例如。在医院、诊所或保健中心提供的护理,由护士以外的保健专业人员提供护理。本综述要考虑的主要结局是:•冠心病症状或心绞痛发作的恶化,•再入院率和入院率,•危险因素(血脂、血压、一般健康状况)的降低,•消费者满意度和•依从性(如冠心病药物的推荐管理、危险因素管理和干预措施的依从性或吸烟、体重管理、运动和饮食等相关行为的改变)。例如,可以通过关于生活方式改变、吸烟和运动行为的调查问卷来衡量结果,并通过调查或审计医疗记录来评估营养和生活质量。如果可能的话,他们将细分为短期(最多6个月)和长期(从7个月以上)。
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引用次数: 4
Effectiveness of patient-caregiver dyad discharge interventions on hospital readmissions of elderly patients with community acquired pneumonia: A systematic review. 患者-护理者双重出院干预对老年社区获得性肺炎患者再入院的有效性:系统评价。
Pub Date : 2010-01-01 DOI: 10.11124/01938924-201008341-00006
Renee McLeod-Sordjan, P. Worral, B. Krajewski, Priscilla Jean‐Baptiste, J. Barone
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引用次数: 1
The experience of body image of children and adolescents with cancer: A meta-synthesis. 儿童和青少年癌症患者的身体意象体验:一项综合研究。
Pub Date : 2010-01-01 DOI: 10.11124/01938924-201008161-00017
Mei-Yin Lee, P. Mu, S. Tsay, Yu-chih Chen
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引用次数: 0
A qualitative systematic review on the experiences of self-management in community-dwelling older women living with chronic illnesses. 慢性疾病社区老年妇女自我管理经验的定性系统评价。
Pub Date : 2010-01-01 DOI: 10.11124/01938924-201109321-00002
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引用次数: 0
A systematic review of Asian women's experiences of the menopause transition. 亚洲妇女更年期过渡经历的系统回顾。
Pub Date : 2010-01-01 DOI: 10.11124/01938924-201008341-00023
Lim Hui Koon, S. Mackey, V. Drury
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引用次数: 0
A systematic review of the experiences of undergraduate nursing students choosing to study at an English speaking university outside their homeland. 系统回顾本科护理学生选择在国外英语大学学习的经历。
Pub Date : 2010-01-01 DOI: 10.11124/01938924-201008241-00009
R. Terwijn, Clint Moloney
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引用次数: 0
Evaluating the effects of using the mobility assessment sub-scale within the Braden Scale on pressure ulcer incidence and preventive interventions in adult acute care settings: A systematic review. 评估使用布雷登量表中的活动能力评估子量表对成人急性护理环境中压疮发生率和预防干预的影响:一项系统综述。
Pub Date : 2010-01-01 DOI: 10.1097/01258363-201109000-00072
S. Mordiffi, P. C. Tho, B. Kent, N. Phillips
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引用次数: 0
A systematic review on the relationship between the nursing shortage and nurses' job satisfaction, stress and burnout levels in oncology/haematology settings. 肿瘤学/血液学护理短缺与护士工作满意度、压力和倦怠水平之间关系的系统综述
Pub Date : 2010-01-01 DOI: 10.11124/01938924-201008341-00031
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引用次数: 3
Use of physical restraints in adult ICU patients to prevent patient-initiated device removal: a systematic review. 在成人ICU患者中使用物理约束来防止患者发起的器械移除:系统回顾。
Pub Date : 2010-01-01 DOI: 10.11124/01938924-201109321-00015
E. Bassi, Marilena Ceresola
Review Question/Objective L'obiettivo è di presentare le migliori evidenze disponibili sull'uso della contenzione fisica per prevenire l'autorimozione dei presidi nei pazienti adulti critici Background La ragione principale per l'uso della contenzione fisica in terapia intensiva è quello di proteggere i pazienti dall' auto-rimozione dei dispositivi terapeutici. Anche se la contenzione fisica è spesso considerata una soluzione "semplice", secondo molti autori i benefici sono dubbi in quanto può aumentare l'agitazione e ci possono essere devastanti effetti fisici e psicologici sui pazienti. Search Strategy E' stata fatta una ricerca della letteratura utilizzando i seguenti database: MEDLINE, CINAHL, EMBASE, COHCRANE Library. Sono stati cercati anche studi non pubblicati, non sono stati posti limiti temporali né linguistici alla ricerca. Methods E' stata condotta una valutazione critica degli studi non pubblicati usando gli strumenti del software JBI-MAStARI. Main results (before data extraction) Sono stati inclusi in questa revisione 6 studi osservazionali; sebbene l'ambito di interesse fosse l'autorimozione di qualsiasi presidio nei pazienti adulti critici sottoposti a contenzione fisica, gli studi inclusi hanno trattato solo l'estubazione non pianificata. Final considerations (before data extraction) Solo l'outcome primario è stato oggetto di indagine nei sei studi inclusi: hanno tutti preso in esame la frequenza di estubazione sia nei pazienti contenuti che in quelli non contenuti, ma solo alcuni hanno considerato anche le complicanze legate all'estubazi one non programmata e nessuno quelle legate all'uso della contenzione fisica.
审查问题/目标的目标是提出有争议的可用的最佳证据的使用身体预防l’autorimozione校长的主要原因背景的成年患者中使用有争议的的重症监护是实物保护患者从auto-rimozione治疗设备。虽然身体约束通常被认为是一种“简单”的解决方案,但许多作者认为,好处是值得怀疑的,因为它会增加焦虑,并可能对患者产生毁灭性的生理和心理影响。使用MEDLINE、CINAHL、EMBASE、COHCRANE图书馆的数据库对文献进行了搜索策略。还研究了未发表的研究,没有时间限制,也没有语言限制。使用JBI-MAStARI软件工具对未发表的研究进行了批判性评价。本审查包括六项观察研究;虽然感兴趣的领域是在接受物理约束的关键成年患者中自我封闭,但包括在内的研究只涉及计划外的拔管。最后considerations(撤离)只有l’outcome日先于主要是六个调查研究的主题包括:都在考虑estubazione频率内容的患者中不仅内容,但也有些人认为all’estubazi one没有计划和有关的并发症有争议的使用有关的身体。
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引用次数: 2
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JBI library of systematic reviews
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