目的:进行范围审查,以确定在脊髓损伤(SCI)的自我管理干预措施中嵌入了自我管理的哪些组成部分。方法:按照Arksey和O\'Malley(2005)概述的方法和阶段,使用5个数据库进行了全面的文献检索.从收录的文章中提取研究特征,和干预描述使用自我管理支持实践评论(PRISMS)编码(Pearce等人,2016),Barlow等人(2002),和Lorig和Holman\(2003)的分类法。结果:共纳入112项研究,代表102项独特的自我管理计划。大多数程序采取单独的方法(52.0%),而不是一组(27.4%)或混合方法(17.6%)。虽然大多数程序涵盖了一般信息,一些提供了具体的症状管理.同伴是提供程序材料的最常见的导师。最常见的Barlow成分包括症状管理(n=44;43.1%),关于病情/治疗的信息(n=34;33.3%),和应对(n=33;32.4%)。最常见的PRISMS组件是有关状况和管理的信息(n=85;83.3%),心理策略的培训/演练(n=52;51.0%),以及生活方式建议和支持(n=52;51.0%)。最常见的Lorig组件正在采取行动(n=62;60.8%),资源利用率(n=57;55.9%),和自我剪裁(n=55;53.9%)。结论:将自我管理概念应用于SCI等复杂条件仅处于发展的最早阶段。尽管从广泛的角度研究了这个话题,本综述反映了一项正在进行的研究计划,该计划与继续完善和测试SCI自我管理干预措施的举措相关.
Objective: To conduct a scoping
review to identify what components of self-management are embedded in self-management interventions for spinal cord injury (SCI). Methods: In accordance with the approach and stages outlined by Arksey and O\'Malley (2005), a comprehensive literature search was conducted using five databases. Study characteristics were extracted from included articles, and intervention descriptions were coded using Practical Reviews in Self-Management Support (PRISMS) (Pearce et al, 2016), Barlow et al (2002), and Lorig and Holman\'s (2003) taxonomy. Results: A total of 112 studies were included representing 102 unique self-management programs. The majority of the programs took an individual approach (52.0%) as opposed to a group (27.4%) or mixed approach (17.6%). While most of the programs covered general information, some provided specific symptom management. Peers were the most common tutor delivering the program material. The most common Barlow components included symptom management (n = 44; 43.1%), information about condition/treatment (n = 34; 33.3%), and coping (n = 33; 32.4%). The most common PRISMS components were information about condition and management (n = 85; 83.3%), training/rehearsal for psychological strategies (n = 52; 51.0%), and lifestyle advice and support (n = 52; 51.0%). The most common Lorig components were taking action (n = 62; 60.8%), resource utilization (n = 57; 55.9%), and self-tailoring (n = 55; 53.9%). Conclusion: Applying self-management concepts to complex conditions such as SCI is only in the earliest stages of development. Despite having studied the topic from a broad perspective, this
review reflects an ongoing program of research that links to an initiative to continue refining and testing self-management interventions in SCI.