中风患者重返社区的促进者和障碍:范围界定综述

IF 1.5 Q3 REHABILITATION European Journal of Physiotherapy Pub Date : 2023-01-12 DOI:10.1080/21679169.2022.2156599
A. Nayak, Aishwarya C. Bhave, Z. Misri, B. Unnikrishnan, Amreen Mahmood, A. Joshua, S. Karthikbabu
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引用次数: 0

摘要

摘要目的本范围综述试图确定影响中风患者社区重新融合(CR)的因素,并将其归类为促进因素和障碍因素。方法通过PubMed、Scopus、Cochrane、ProQuest、EMBASE、CINHAL和PEDRO对2014年至2021年8月发表的研究进行全面检索。该审查基于系统审查首选报告项目和范围界定审查荟萃分析(PRISMA ScR)指南。使用Rayyan QCRI软件对检索到的文章进行标题和摘要筛选。纳入研究的质量是使用美国国立心肺血液研究所(NIH)的工具确定的。结果在检索到的1466项研究中,包括1383名中风患者在内的14项符合资格标准,并被选中进行审查。根据NIH质量评估工具获得的分数,6项研究的方法学质量良好,其余8项尚可。具有更好的运动功能、良好的平衡、更大的功能独立性和生活质量、来自家庭和社区的最佳支持、更长的卒中后持续时间、更高的教育水平和就业的个体具有更高的CR,因此是CR的促进者,和辅助设备的使用被确定为CR的障碍。结论该综述确定了CR的促进因素或障碍因素。多学科康复解决了可改变的促进因素和障碍,如运动功能、平衡、跌倒恐惧、功能依赖、抑郁、合并症,并且认知受损对于改善中风幸存者的CR是必要的。
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Facilitators and barriers of community reintegration among individuals with stroke: a scoping review
Abstract Purpose This scoping review attempts to identify the factors influencing community reintegration (CR) among individuals with stroke and classify them as facilitators and barriers. Methods A thorough search was run through PubMed, Scopus, Cochrane, ProQuest, EMBASE, CINHAL, and PEDRO for studies published from 2014 to August 2021. The review was based on Preferred Reporting Items for Systematic Review and Meta-analysis for Scoping Reviews (PRISMA-ScR) guidelines. The retrieved articles were screened for title and abstract using the Rayyan QCRI software. The quality of the included studies was determined using National Heart, Lung, and Blood Institute (NIH) tool. Results Of the 1466 studies retrieved, 14 that included 1383 stroke individuals fulfilled the eligibility criteria and were selected for review. Based on the scores obtained on the NIH tool for quality assessment, the methodological quality of 6 studies was found to be good, and remaining 8 were fair. Individuals with better motor function, good balance, greater functional independence and quality of life, optimal support from the family and community, longer post-stroke duration, higher levels of education, and employment had higher CR and hence were facilitators of CR. Older age, diabetes mellitus, smoking, severe stroke, impaired cognition, depression, falls, gait impairments, and use of assistive devices were identified as barriers to CR. Conclusion The review identified factors that were either facilitators or barriers to CR. A multidisciplinary rehabilitation addressing modifiable facilitators and barriers such as motor function, balance, fear of fall, functional dependence, depression, comorbidities, and impaired cognition is necessary to improve CR in stroke survivors.
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