关键词: Integrated review Intervention Self-care Stroke Telehealth

来  源:   DOI:10.1016/j.heliyon.2023.e16430   PDF(Pubmed)

Abstract:
UNASSIGNED: Self-care is essential for stroke survivors to recover from neurological disorders caused by stroke and to prevent recurrences. Self-care behaviors are activities that individuals undertake to prevent recurrence and complications, and have a positive effect on the quality of life of patients. Telehealth is an emerging technology through which self-care intervention can be provided from a distance. Review-based research is needed to determine the value and development of telehealth-based self-care interventions for stroke survivors.
UNASSIGNED: Based on the middle range theory of self-care of chronic illness, to provide an effective guide when developing telehealth self-care interventions for stroke survivors by comprehensively understanding telehealth interventions to support self-care of stroke survivors.
UNASSIGNED: An integrative review, this study was performed in accordance with Whittemore and Knafl\'s stages of an integrative review (problem identification, literature search, data evaluation, data analysis, and presentation of the results). The key search terms included combinations of concepts related to stroke survivors and self-care, and telehealth. The research year of searched publications was not limited, and five electronic databases (PubMed, Ovid-MEDLINE, Ovid-EMBASE, CINAHL and Cochrane Library) were searched.
UNASSIGNED: Four attributes were identified that represented telehealth\'s functions that appeared to be associated with a self-care intervention for stroke survivors. These included introducing the concept of interaction, monitoring, education, and store and forward. These self-care interventions were found to influence the behaviors of stroke survivors\' self-care maintenance (physical activity and treatment adherence), self-care monitoring (blood pressure, healthy behaviors, health diet, psychological well-being, glucose control, and depression), and self-care management (sense of control, healthcare resource utilization, social integration, and support).
UNASSIGNED: The results of this study can provide a guide for developing effective telehealth self-care intervention by identifying the attributes of telehealth self-care intervention for stroke survivors.
摘要:
自我护理对于中风幸存者从中风引起的神经系统疾病中恢复和防止复发至关重要。自我护理行为是个人为防止复发和并发症而进行的活动,并对患者的生活质量产生积极影响。远程医疗是一种新兴的技术,通过它可以从远处提供自我护理干预。需要基于回顾的研究来确定基于远程健康的自我护理干预对中风幸存者的价值和发展。
基于慢性病自我护理的中程理论,通过全面了解远程健康干预措施以支持卒中幸存者的自我护理,为制定卒中幸存者的远程健康自我护理干预措施提供有效的指导。
综合审查,这项研究是根据Whittemore和Knafl的综合审查阶段进行的(问题识别,文献检索,数据评估,数据分析,并介绍结果)。关键搜索词包括与中风幸存者和自我护理相关的概念组合,和远程健康。搜索出版物的研究年份不受限制,和五个电子数据库(PubMed,Ovid-MEDLINE,Ovid-EMBASE,搜索CINAHL和Cochrane图书馆)。
确定了代表远程医疗功能的四个属性,这些属性似乎与中风幸存者的自我护理干预有关。其中包括引入互动的概念,监测,教育,存储和转发。发现这些自我护理干预会影响中风幸存者的自我护理维护行为(身体活动和治疗依从性),自我护理监测(血压,健康的行为,健康饮食,心理健康,血糖控制,和抑郁),和自我护理管理(控制感,医疗保健资源利用,社会融合,和支持)。
这项研究的结果可以通过确定中风幸存者远程健康自我护理干预的属性,为开发有效的远程健康自我护理干预提供指导。
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