Rehabilitation and reintegration programming adjunct to female genital fistula surgery: a scoping review protocol.
Rehabilitation and reintegration programming adjunct to female genital fistula surgery: a scoping review protocol.
复制标题
女性生殖器瘘手术的康复和重返社会规划辅助：范围界定审查方案。
DOI：
10.1136/bmjopen-2018-027991
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发表时间：
2019
期刊：
影响因子：
2.9
通讯作者：
Barageine,JustusK
中科院分区：
文献类型：
--
作者：
ElAyadi,AlisonM;Painter,CaitlynE;Delamou,Alexandre;Barr-Walker,Jill;Obore,Susan;Byamugisha,Josaphat;Korn,Abner;Barageine,JustusK
女性生殖器瘘是一种使人衰弱的创伤性损伤，主要与分娩有关，全球影响多达200万妇女，主要是在撒哈拉以南非洲。瘘管病造成严重的生理、心理和经济后果。尽管手术成功，但妇女在重新融入和恢复以前的角色方面往往面临挑战。综合瘘管病手术辅助服务及其成果的证据，对于建立最佳做法的证据基础和确定研究优先事项十分重要。此范围审查旨在研究范围内的康复和重返社会服务提供的辅助生殖器瘘手术，映射现有的编程和成果，并确定领域的额外research.Methods和analysisOur范围审查是由现有的方法框架，并将按照首选报告项目进行系统评价和荟萃分析-ScR指南。搜索策略将应用于9个生物医学、公共卫生和社会科学数据库。初步检索于2018年9月27日完成。灰色文献将通过有针对性的谷歌搜索和联合国人口基金（人口基金）消除妇科瘘运动确定为相关的组织网站来确定。我们将通过术语收集和审查迭代构建我们的检索策略，并检索报告和文章的参考文献列表以识别其他研究。两名评审员将独立筛选标题和摘要，然后对所有潜在相关文章进行全文筛选并标准化数据提取。符合纳入条件的文章将讨论研究或方案的努力，围绕服务提供辅助手术女性生殖器瘘。数据将以汇总表的形式呈现，并附有叙述性描述。伦理和传播范围审查不需要伦理批准。我们的结果可用于为政策提供信息，为重返社会计划的资助和发展提供支持，并强调后续研究的领域。研究结果将在相关会议上传播，并在同行评审期刊上发表。
IntroductionFemale genital fistula is a debilitating traumatic injury, largely birth-associated, globally affecting up to 2 million women, mostly in sub-Saharan Africa. Fistula has significant physical, psychological and economic consequences. Women often face challenges in reintegrating and resuming prior roles despite successful surgery. Synthesising the evidence on services adjunct to fistula surgery and their outcomes is important for developing the evidence base for best practices and identifying research priorities. This scoping review seeks to examine the range of rehabilitation and reintegration services provided as adjunct to genital fistula surgery, map the existing programming and outcomes, and identify areas for additional research.Methods and analysisOur scoping review is informed by existing methodological frameworks and will be conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses-ScR guidelines. The search strategy will be applied to nine biomedical, public health and social science databases. The initial search was completed on 27 September 2018. Grey literature will be identified through targeted Google searches and from organisational websites identified as relevant by the United Nations Population Fund (UNFPA) Campaign to End Fistula. We will iteratively build our search strategy through term harvesting and review, and search reference lists of reports and articles to identify additional studies. Two reviewers will independently screen titles and abstracts, followed by full-text screening of all potentially relevant articles and standardised data extraction. Articles eligible for inclusion will discuss research or programmatic efforts around service provision in adjunct to surgery among females with genital fistula. Data will be presented in summary tables accompanied by narrative description.Ethics and disseminationEthics approval is not required for a scoping review. Our results can be used to inform policy, serve as support for funding and development of reintegration programmes and highlight areas for subsequent research. Results will be disseminated at relevant conferences and published in a peer-reviewed journal.