远程康复支持下的运动干预对最近住院的成年患者的有效性:一项系统综述

IF 2.5 Q1 REHABILITATION International Journal of Telerehabilitation Pub Date : 2021-12-15 DOI:10.5195/ijt.2021.6356
Simone Leslie, J. Tan, P. McRae, S. O'Leary, J. Adsett
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引用次数: 1

摘要

目的:评估通过远程康复(通过视频会议)对最近住院的成年医疗患者进行运动干预的有效性。数据来源:从成立到2020年5月,在六个数据库中搜索了英语出版物。方法:如果研究包括由理疗师通过视频会议为最近住院的成年人提供的运动干预,则进行选择。两名评审员独立筛选了1122篇文章(21篇全文筛选),并使用Downs和Black检查表评估了方法学质量。对纳入的研究进行了叙述性综合。结果:三项研究符合资格标准,涉及201名患有慢性心力衰竭或慢性阻塞性肺病的参与者。研究结果表明,支持通过远程康复提供的锻炼在改善最近住院的医疗患者的身体功能和患者报告的生活质量方面的有效性的证据有限。这种情况下的远程康复也与高出勤率和患者满意度有关。结论:研究结果为通过远程康复为最近住院的医疗患者提供锻炼干预的益处提供了初步支持。需要谨慎解读结果,因为需要针对这种运动干预方法进行进一步的高质量研究。
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The Effectiveness of Exercise Interventions Supported by Telerehabilitation For Recently Hospitalized Adult Medical Patients: A Systematic Review
Objective: To evaluate the effectiveness of exercise interventions delivered via telerehabilitation (via videoconference) for recently hospitalized adult medical patients. Data sources: A search was undertaken across six databases for English language publications from inception to May 2020. Methods: Studies were selected if they included an exercise intervention for recently hospitalized adults, delivered by a physiotherapist via videoconference. Two reviewers independently screened 1,122 articles (21 full text screening) and assessed methodological quality using the Downs and Black Checklist. A narrative synthesis of the included studies was undertaken. Results: Three studies met eligibility criteria involving 201 participants with chronic heart failure or chronic obstructive pulmonary disease. Findings demonstrated limited evidence supporting the effectiveness of exercise delivered via telerehabilitation in improving physical function and patient reported quality of life outcomes in recently hospitalized medical patients. Telerehabilitation in this setting was also associated with high attendance rates and patient satisfaction. Conclusions: Findings provide preliminary support for the benefits of exercise interventions delivered via telerehabilitation for recently hospitalized medical patients. Results do need to be interpreted with caution as further high-quality studies specific to this method of exercise intervention delivery are needed.
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来源期刊
CiteScore
4.60
自引率
6.10%
发文量
14
审稿时长
10 weeks
期刊最新文献
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