Self-management interventions for skin care in people with a spinal cord injury: part 1-a systematic review of intervention content and effectiveness.
Self-management interventions for skin care in people with a spinal cord injury: part 1-a systematic review of intervention content and effectiveness.
复制标题
DOI：
10.1038/s41393-018-0138-3
复制
发表时间：
2018-09
期刊：
影响因子：
2.2
通讯作者：
Grimshaw JM
中科院分区：
文献类型：
--
作者：
Baron JS;Sullivan KJ;Swaine JM;Aspinall A;Jaglal S;Presseau J;White B;Wolfe D;Grimshaw JM
系统回顾。回顾脊髓损伤患者皮肤护理自我管理干预的内容和效果。国际的。我们搜索电子书目数据库、试验登记和相关参考文献列表。除研究设计外，干预内容和有效性审查的资格标准相同。干预内容回顾包括非随机对照试验和随机对照试验。对有效性的审查包括随机对照试验。采用行为改变技术(BCT)对93个BCT进行分类，对干预内容进行编码。描述性地总结了干预对感兴趣的结果的影响。计算效应大小，并应用偏倚的Cochrane风险工具。总共有15项研究测试了17项干预措施，纳入了干预内容的审查。这些研究中的干预措施包括28项BCT。最常见的是“行为指导”(16项干预措施)、“可靠来源”(12项干预措施)和“社会支持(未指明)”(9项干预措施)。10个随机对照试验纳入干预效果回顾，他们测量了与皮肤护理/压迫性溃疡(PU)预防、皮肤护理行为、皮肤状况(PU患病率、严重程度和PU时间)以及皮肤问题的卫生保健利用有关的知识、自我效能和技能。支持干预对这些结果的影响的证据是有限的，特别是临床结果。由于报告不佳，偏差风险评估往往没有定论。有可能设计包括目前未经测试的BCT的SCI皮肤护理干预措施。需要在成果衡量和报告方面进行进一步的研究和更好的一致性，以综合关于有效性的证据。
Systematic review. To review the content and effectiveness of skin care self-management interventions for people with SCI. International. We searched electronic bibliographic databases, trial registers, and relevant reference lists. Eligibility criteria for the reviews of intervention content and effectiveness were identical with the exception of study design. The review of intervention content included non-randomized and randomized controlled trials (RCTs). The review of effectiveness included RCTs. A Behavior Change Technique (BCT) taxonomy of 93 BCTs was used to code intervention content. Intervention effects on outcomes of interest are summarized descriptively. Effect sizes were calculated, and the Cochrane risk of bias tool applied. In all, 15 studies testing 17 interventions were included in the review of intervention content. Interventions in these studies included 28 BCTs. The most common were “instructions on how to perform behavior” (16 interventions), “credible source” (12 interventions), and “social support (unspecified)” (9 interventions). Ten RCTs were included in the review of intervention effectiveness and they measured knowledge, self-efficacy, and skills relating to skin care/pressure ulcer (PU) prevention, skin care behaviors, skin status (PU prevalence, severity, and time to PU), and health-care utilization for skin problems. Evidence to support intervention effects on these outcomes was limited, particularly for clinical outcomes. Risk of bias assessments was often inconclusive due to poor reporting. There is potential to design SCI skin care interventions that include currently untested BCTs. Further research and better consistency in outcome measurements and reporting are required to synthesize evidence on effectiveness.
登录
查看更多内容
影响因子：
2.2
作者：
Houlihan, B. V.;Jette, A.;Williams, S.
通讯作者：
Williams, S.
DOI：
10.1016/j.apmr.2014.01.012
发表时间：
2014-07-01
影响因子：
4.3
作者：
Guihan, Marylou;Bombardier, Charles H.;Holmes, Sally A.
通讯作者：
Holmes, Sally A.
DOI：
10.3399/bjgp16x686617
发表时间：
2016-10
期刊：
The British journal of general practice : the journal of the Royal College of General Practitioners
影响因子：
--
作者：
Heron N;Kee F;Donnelly M;Cardwell C;Tully MA;Cupples ME
通讯作者：
Cupples ME
影响因子：
2.2
作者：
Bloemen-Vrencken, J. H. A.;de Witte, L. P.;van den Heuvel, W. J. A.
通讯作者：
van den Heuvel, W. J. A.
影响因子：
3.7
作者：
Baron J;Swaine J;Presseau J;Aspinall A;Jaglal S;White B;Wolfe D;Grimshaw J
通讯作者：
Grimshaw J