Centre for Disability Research, Division of Health Research, Faculty of Health and Medicine, Lancaster University, Lancaster, UK.
Centre for Disability Research and Policy, University of Sydney, Lidcombe, NSW, Australia.
J Appl Res Intellect Disabil. 2018 Jan;31 Suppl 1:11-28. doi: 10.1111/jar.12325. Epub 2016 Dec 22.
Poor postural care can have severe and life-threatening complications. This scoping review aims to map and summarize existing evidence regarding postural care for people with intellectual disabilities and severely impaired motor function.
Studies were identified via electronic database searches (MEDLINE, CINAHL, PsycINFO and Web of Science) covering January 1990 to March 2016, and email requests to researcher networks. Results were collated via descriptive numerical summary of studies and thematic analysis.
Twenty-three studies were identified and summarized narratively in relation to three themes: characteristics and prevalence, interventions and service related issues. The evidence base is small with significant gaps. Lack of evidence for night-time positioning equipment and 24-hr postural care needs to be addressed urgently.
Future research should be clearly directed towards ascertaining how best postural care interventions can be employed to help improve the health and quality of life of people with intellectual disabilities.
不良的姿势护理可能会导致严重的、危及生命的并发症。本范围综述旨在对有关智力残疾和严重运动功能障碍者的姿势护理的现有证据进行制图和总结。
通过电子数据库搜索（MEDLINE、CINAHL、PsycINFO 和 Web of Science），检索时间从 1990 年 1 月至 2016 年 3 月，并通过电子邮件向研究人员网络请求，确定了研究结果。通过对研究的描述性数值汇总和主题分析来整理结果。
确定了 23 项研究，并就三个主题进行了叙述性总结：特征和流行率、干预措施和与服务相关的问题。证据基础很小，存在很大的差距。迫切需要解决夜间体位固定设备和 24 小时体位护理的证据不足问题。
未来的研究应明确针对如何最好地利用姿势护理干预措施，以帮助改善智力残疾者的健康和生活质量。
