职业治疗干预对成年系统性红斑狼疮患者的有效性：一项系统评价。

Effectiveness of Occupational Therapy Interventions for Adults With Systemic Lupus Erythematosus: A Systematic Review.

作者信息

Poole Janet L, Bradford Joshua D, Siegel Patricia

机构信息

Janet L. Poole, PhD, OTR/L, FAOTA, is Director and Professor, Occupational Therapy Graduate Program, University of New Mexico, Albuquerque;

Joshua D. Bradford, MOT, OTR/L, is Occupational Therapist, Manzano del Sol, Albuquerque, NM, and La Vida Llena, Albuquerque, NM.

出版信息

Am J Occup Ther. 2019 Jul/Aug;73(4):7304205020p1-7304205020p21. doi: 10.5014/ajot.2019.030619.

DOI:10.5014/ajot.2019.030619

PMID:31318666

Abstract

OBJECTIVE

Our objective was to assess the efficacy of occupational therapy-related interventions for adults with systemic lupus erythematosus (SLE).

METHOD

We reviewed intervention studies published from 2000 to 2017. The method used for conducting the review was based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The PEDro scale was used to evaluate methodological quality. Risk of bias was appraised with methods described by the Cochrane Methods Group.

RESULTS

The final analysis included 20 studies (10 physical activity and 10 psychoeducational). Moderate evidence supports physical activity to improve depression, fatigue, exercise tolerance, and function without exacerbation of disease symptoms. Strong evidence supports psychoeducational interventions using cognitive-behavioral approaches to improve pain, depression, anxiety, perceived stress, quality of life, and function. Moderate evidence supports patient education and self-management interventions for pain, depression, anxiety, perceived stress, quality of life, and function.

CONCLUSION

Further research on occupation-based interventions for people with SLE is needed.

摘要

目的

我们的目的是评估职业治疗相关干预措施对成年系统性红斑狼疮（SLE）患者的疗效。

方法

我们回顾了2000年至2017年发表的干预研究。进行该综述所使用的方法基于系统评价与Meta分析的首选报告项目指南。PEDro量表用于评估方法学质量。偏倚风险采用Cochrane方法组描述的方法进行评估。

结果

最终分析纳入了20项研究（10项身体活动研究和10项心理教育研究）。中等证据支持身体活动可改善抑郁、疲劳、运动耐量和功能，且不会加重疾病症状。强有力的证据支持采用认知行为方法的心理教育干预可改善疼痛、抑郁、焦虑、感知压力、生活质量和功能。中等证据支持患者教育和自我管理干预对疼痛、抑郁、焦虑、感知压力、生活质量和功能的作用。