What are the barriers and facilitators to goal-setting during rehabilitation for stroke and other acquired brain injuries? A systematic review and meta-synthesis.
What are the barriers and facilitators to goal-setting during rehabilitation for stroke and other acquired brain injuries? A systematic review and meta-synthesis.
复制标题
中风和其他后天性脑损伤康复期间设定目标的障碍和促进因素是什么？系统回顾和荟萃综合。
DOI：
10.1177/0269215516655856
复制
发表时间：
2016-09
影响因子：
3
通讯作者：
Parsons J
中科院分区：
文献类型：
--
作者：
Plant SE;Tyson SF;Kirk S;Parsons J
找出中风和其他后天脑损伤康复过程中设定目标的障碍和促进者。Amed、ProQuest、CINAHL和MEDLINE。两名评价者使用混合方法评估工具独立筛选、提取数据并评估研究质量，并对研究论文进行主题内容分析，以考察中风/神经康复(任何设计)过程中目标设定的障碍和促进者。最后一次搜索完成于2016年5月。共筛选出定性文献9篇，涉及患者88人、医护人员和参与患者亲属25人。主要障碍是：员工和患者对目标设定的看法不同；与患者有关的障碍；与员工有关的障碍；以及组织层面的障碍。主要的促进者是：为个人量身定做的目标设定过程、促进沟通和理解的战略以及避免失望和不切实际目标的战略。此外，患者和工作人员的知识、经验、技能和对目标设定的投入可能是障碍(如果没有这些方面)，也可能是促进者(如果有)。卒中康复过程中目标设定的主要障碍和促进者已经确定。他们认为，目前在住院/早期中风或神经康复期间设定目标的方法不适用于此。
To identify the barriers and facilitators to goal-setting during rehabilitation for stroke and other acquired brain injuries. AMED, Proquest, CINAHL and MEDLINE. Two reviewers independently screened, extracted data and assessed study quality using the Mixed Methods Appraisal Tool and undertook thematic content analysis for papers examining the barriers and facilitators to goal-setting during stroke/neurological rehabilitation (any design). Last searches were completed in May 2016. Nine qualitative papers were selected, involving 202 participants in total: 88 patients, 89 health care professionals and 25 relatives of participating patients. Main barriers were: Differences in staff and patients perspectives of goal-setting; patient-related barriers; staff-related barriers, and organisational level barriers. Main facilitators were: individually tailored goal-setting processes, strategies to promote communication and understanding, and strategies to avoid disappointment and unrealistic goals. In addition, patients’ and staff’s knowledge, experience, skill, and engagement with goal-setting could be either a barrier (if these aspects were absent) or a facilitator (if they were present). The main barriers and facilitators to goal-setting during stroke rehabilitation have been identified. They suggest that current methods of goal-setting during inpatient/early stage stroke or neurological rehabilitation are not fit for purpose.