Self-management interventions to improve skin care for pressure ulcer prevention in people with spinal cord injuries: a systematic review protocol.
Self-management interventions to improve skin care for pressure ulcer prevention in people with spinal cord injuries: a systematic review protocol.
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DOI：
10.1186/s13643-016-0323-4
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发表时间：
2016-09-06
影响因子：
3.7
通讯作者：
Grimshaw J
中科院分区：
文献类型：
--
作者：
Baron J;Swaine J;Presseau J;Aspinall A;Jaglal S;White B;Wolfe D;Grimshaw J
压疮是脊髓损伤（SCI）的一种严重、常见、终身和昂贵的继发性并发症。社区居住的SCI患者可以通过适当的皮肤护理（即减压活动，皮肤检查）来预防。然而，坚持皮肤护理仍然是次优的，自我管理干预措施，重点是改善这一设计。人们对其内容、有效性或理论基础知之甚少。拟议的系统性综述的目的是综合自我管理干预措施，以改善皮肤护理的SCI患者的文献。具体目标是描述这些干预措施的内容、有效性、理论基础以及对干预措施描述报告指南的遵守情况。检索策略将结合联合收割机对9个书目数据库（MEDLINE、Embase、PsycInfo、CENTRAL、CINAHL、Rehabdata、CIRRIE、PEDro、ERIC）和2个试验登记数据库的电子检索以及对相关参考文献列表的手动检索。预定义的合格性标准将应用于两阶段筛选过程，包括标题和摘要筛选，然后是全文筛选。数据提取电子表格将应用于纳入的论文。干预内容将使用两种分类法（行为改变分类法; PRISMS自我管理支持分类法）进行编码。将使用经验证的工具（理论编码方案）和干预描述和复制模板（TIDieR）检查理论基础并评估干预描述报告指南的依从性。少数异质性研究可能被纳入本综述，因此计划进行叙述性综合。这一系统的审查将有助于确定差距和优先事项，以指导这一领域的未来研究活动。PROSPERO CRD 42016033191本文的在线版本（doi：10.1186/s13643-016-0323-4）包含补充材料，可供授权用户使用。
Pressure ulcers are a serious, common, lifelong, and costly secondary complication of spinal cord injury (SCI). Community-dwelling people with a SCI can prevent them with appropriate skin care (i.e. pressure relieving activities, skin checks). Adherence to skin care remains suboptimal however, and self-management interventions that focus on improving this have been designed. Little is known on their content, effectiveness, or theoretical basis. The aim of the proposed systematic review is to synthesize the literature on self-management interventions to improve skin care in people with a SCI. Specific objectives are to describe these interventions in relation to their content, effectiveness, theory base, and adherence to reporting guidelines for intervention description. The search strategy will combine an electronic search of nine bibliographic databases (MEDLINE, Embase, PsycInfo, CENTRAL, CINAHL, Rehabdata, CIRRIE, PEDro, ERIC) and two trial registers with a manual search of relevant reference lists. Predefined eligibility criteria will be applied in a two-phase selection process involving title and abstract screening, followed by full-text screening. A data extraction spreadsheet will be applied to included papers. Intervention content will be coded using two taxonomies (behaviour change taxonomy; PRISMS self-management support taxonomy). A validated tool (Theory Coding Scheme) and the Template for Intervention Description and Replication (TIDieR) will be used to examine theoretical basis and assess adherence to reporting guidelines for intervention description. A small number of heterogeneous studies are likely to be included in this review therefore a narrative synthesis is planned. This systematic review will help identify the gaps and priorities to guide future research activities in this area. PROSPERO CRD42016033191 The online version of this article (doi:10.1186/s13643-016-0323-4) contains supplementary material, which is available to authorized users.