改善脊髓损伤患者预防压疮皮肤护理的自我管理干预措施：一项系统评价方案
Self-management interventions to improve skin care for pressure ulcer prevention in people with spinal cord injuries: a systematic review protocol.
作者信息
Baron Justine, Swaine Jillian, Presseau J, Aspinall Arlene, Jaglal Susan, White Barry, Wolfe Dalton, Grimshaw Jeremy
机构信息
Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada.
Department of Medicine, University of Ottawa, Ottawa, ON, Canada.
出版信息
Syst Rev. 2016 Sep 6;5(1):150. doi: 10.1186/s13643-016-0323-4.
BACKGROUND
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.
METHODS
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.
DISCUSSION
This systematic review will help identify the gaps and priorities to guide future research activities in this area.
SYSTEMATIC REVIEW REGISTRATION
PROSPERO CRD42016033191.
背景
压疮是脊髓损伤（SCI）一种严重、常见、伴随终生且代价高昂的继发性并发症。居家的脊髓损伤患者可通过适当的皮肤护理（即减压活动、皮肤检查）预防压疮。然而，皮肤护理的依从性仍不理想，为此设计了旨在改善这一情况的自我管理干预措施。对于这些干预措施的内容、有效性或理论基础，人们了解甚少。拟进行的系统评价旨在综合关于改善脊髓损伤患者皮肤护理的自我管理干预措施的文献。具体目标是根据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依从性来描述这些干预措施。
方法
检索策略将结合对九个书目数据库（医学主题词表、Embase、心理学文摘数据库、循证医学图书馆、护理学与健康领域数据库、康复数据库、残障与康复信息中心数据库、循证物理治疗数据库、教育资源信息中心）和两个试验注册库进行电子检索，并对相关参考文献列表进行手工检索。预定义的纳入标准将应用于两阶段筛选过程，包括标题和摘要筛选，随后进行全文筛选。将对纳入的论文应用数据提取电子表格。干预内容将使用两种分类法进行编码（行为改变分类法；PRISMS自我管理支持分类法）。将使用经过验证的工具（理论编码方案）和干预描述与复制模板（TIDieR）来检查理论基础并评估对干预措施描述报告指南的依从性。本评价可能纳入少量异质性研究，因此计划进行叙述性综合分析。
讨论
本系统评价将有助于确定差距和优先事项，以指导该领域未来的研究活动。
系统评价注册
国际前瞻性系统评价注册库CRD42016033191。
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