Patient Compliance With Wearing Lower Limb Assistive Devices: A Scoping Review.
Patient Compliance With Wearing Lower Limb Assistive Devices: A Scoping Review.
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DOI：
10.1016/j.jmpt.2022.04.003
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发表时间：
2022-03
影响因子：
1.3
通讯作者：
Myers, Sara A.
中科院分区：
文献类型：
--
作者：
Bashir, Ayisha Z.;Dinkel, Danae M.;Pipinos, Iraklis I.;Johanning, Jason M.;Myers, Sara A.
本次范围审查的目的是确定有关佩戴矫形器和其他支持装置的依从性信息，讨论依从性的障碍，并根据这些发现提出改进策略。在 PubMed、Web of science 和 Cochrane 图书馆的在线数据库中搜索了有关患者对下肢辅助装置依从性的文章。此外，还进行了方法学质量控制过程。研究纳入了英语语言且与下肢辅助装置的依从性和依从性相关的研究。排除是基于首先阅读摘要，然后阅读完整的手稿，确认内容与矫形装置和依从性无关。包括十二项研究。数据显示 6% 至 80% 的患者没有使用处方设备。使用矫形装置的障碍包括医疗、功能、装置特性以及缺乏适当的配合。提高依从性的策略包括受试者和临床医生之间更好的沟通、患者教育以及提高舒适度和设备美观度。个性化矫形器调整、康复和患者教育有望提高依从性。尽管使用辅助设备可以改善步态、老年人的平衡性和安全感，但由于障碍，依从性仍然不理想。由于最近研究的依从性并未改善，因此该领域的持续工作对于实现矫形器和辅助装置技术进步的好处至关重要。
The aim of this scoping review was to identify information on compliance to wearing orthoses and other supportive devices, to discuss the barriers to adherence, and to suggest strategies for improvement based on these findings. Online databases of PubMed, Web of science and Cochrane Library were searched for articles about patients’ compliance with regard to lower limb assistive devices. In addition, a methodological quality control process was conducted. Studies were included if in English language and related to compliance and adherence to the lower limb assistive device. Exclusion was based on first reading the abstract and then the full manuscript confirming content was not related to orthotic devices and compliance. Twelve studies were included. The data revealed between 6% and 80% of patients were not using a prescribed device. Barriers to the use of the orthotic device included medical, functional, device properties and lack of proper fit. Strategies for improved compliance included better communication between subject and clinician, patient education, and improved comfort and device esthetics. Individualized orthotic adjustments, rehabilitation, and patient education were promising for increasing adherence. Despite positive aspects of improvements in gait, balance in elderly and a sense of security produced by using assistive devices, compliance remains less than ideal due to barriers. As compliance in recent studies has not improved, continued work in this area is essential to realize the benefits of technological advances in orthotic and assistive devices.
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期刊：
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影响因子：
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