背景:尽管社区对医院康复服务的兴趣与日俱增,由于社区卫生服务发展和区域文化多样性的局限性,对现有社区康复(CBR)服务的研究仍然很少。作为确保康复服务质量和实现预期服务成果的保证措施,在多学科团队中明确的角色和责任以及有效的服务交付尤为重要。
目的:本范围审查旨在确定涉及现有多学科团队的社区卒中康复计划的范围,并分析实施内容和实施者的功能角色,为未来的CBR计划提供指导。
方法:范围审查设计遵循JoannaBriggs研究所的方法,并基于Arksey和O\'Malley提出的规范性范围审查框架。全面的CBR框架是由世界卫生组织指导的数据图表和分析提出的。
结果:在22,849个确定的引文中,包括74项研究,由6,809名中风患者和49名主要护理人员组成,其中大部分来自中国。CBR计划中最常见的工作模式是双重方法,涉及医疗机构中的医疗保健专业人员和社区医疗保健专业人员。每个学科的程序数量按以下降序排列:护理,医疗保健,康复,心理学,营养,和公共卫生。其中,多学科团队包括医疗,护理,康复学科是最常见的,共有29个项目。纪律委员主要负责落实各自的纪律内容,医生为项目提供指导。超过82.4%的研究报告了2-4种干预策略。康复内容的干预形式最为多样,而预防性干预措施比其他干预措施更同质。身体功能和社会心理测量是最常见的结果。
结论:多学科团队实施的CBR服务可以有效地改善中风患者的功能和情绪,护士参与最多,尤其是在社区环境中。结果进一步强调了加强探索护士在未来实践中实施CBR计划的最大潜力的重要性。
背景:可以在osf.io/pv7tg上找到此范围审查的注册信息。
BACKGROUND: Despite the growing interest in hospital rehabilitation services for communities, studies on existing community-based rehabilitation (CBR) services remain scarce owing to limitations in the development of community health services and regional cultural diversity. As a guaranteed measure for ensuring the quality of rehabilitation services and achieving the desired service outcomes, clear roles and responsibilities in multidisciplinary teams and effective service delivery are particularly important.
OBJECTIVE: This scoping
review aimed to determine the scope of community stroke rehabilitation programs involving existing multidisciplinary teams and to analyze the implementation content and implementers\' functional roles to provide guidance for future CBR programs.
METHODS: The scoping
review design followed the methodology of the Joanna Briggs Institute and was based on the normative scoping
review framework proposed by Arksey and O\'Malley. The comprehensive CBR framework was proposed by World Health Organization-guided data charting and analysis.
RESULTS: Of the 22,849 identified citations, 74 studies were included, consisting of 6,809 patients with stroke and 49 primary caregivers, most of whom were from China. The most common working mode in CBR programs was a dual approach involving both healthcare professionals in medical institutions and community healthcare professionals. The number of programs in each discipline was in the following descending order: nursing, medical care, rehabilitation, psychology, nutrition, and public health. Among these, multidisciplinary teams comprising medical, nursing, and rehabilitation disciplines were the most common, with a total of 29 programs. Disciplinary members were mainly responsible for implementing their respective disciplinary content, with physicians providing guidance for the programs. More than 82.4% of the studies reported 2-4 intervention strategies. The intervention forms of rehabilitation content were the most diverse, whereas preventive interventions were more homogeneous than others. Physical function and socio-psychological measurements were the most commonly reported outcomes.
CONCLUSIONS: CBR services implemented by multidisciplinary teams can effectively achieve functional and emotional improvement in patients with stroke, and nurses are the most involved in implementation, especially in community settings. The results further emphasize the importance of strengthening the exploration of nurses\' maximum potential to implement CBR plans in future practice.
BACKGROUND: The registration information for this scoping
review can be found at osf.io/pv7tg.