Rosalind Franklin University of Medicine and Science: a Joanna Briggs Institute Affiliated Group, North Chicago, USA.
JBI Evid Synth. 2020 Feb;18(2):332-340. doi: 10.11124/JBISRIR-D-18-00024.
This scoping review aims to map the use of post-discharge interventions to enhance coping skills for adult stroke survivors and their informal caregivers.
Evidence shows that when stroke survivors and their informal caregivers are provided with post-discharge coping training, their outcomes improve. There is also evidence that healthcare providers currently focus on medication compliance and deliver little to no instruction on post-discharge coping interventions. As a result, more than 40% of stroke survivors and informal caregivers report a lack of awareness and access to community-based coping training once discharged from the hospital setting.
This scoping review will map the delivery modes, intervention types, locations, leadership and settings of current coping interventions for community-dwelling adults 18 years or older living with the effects of stroke and their informal caregivers. This review will be restricted to studies published in English that include interventions that are not reimbursed as part of United States healthcare coverage.
The search will include CINAHL, Cochrane Library, Embase, JBI Evidence Synthesis, MEDLINE, PEDro, PLoS, PsycINFO, and Web of Science. In addition, smaller health-related databases, stroke and rehabilitation journals, gray literature and stakeholder organization websites will be searched. A three-step search strategy will be utilized, including use of citation software to manage search results and de-duplication, abstract review and full-text review by two reviewers. Details of included studies will then be imported into information management software. The resulting map will be displayed in tabular form along with a narrative summary.
本范围综述旨在绘制用于增强成年中风幸存者及其非专业照护者应对技能的出院后干预措施图。
证据表明，当为中风幸存者及其非专业照护者提供出院后应对培训时，他们的结果会得到改善。还有证据表明，医疗保健提供者目前专注于药物依从性，几乎没有提供关于出院后应对干预措施的指导。结果，超过 40%的中风幸存者和非专业照护者报告说，一旦从医院环境出院，他们缺乏对社区为基础的应对培训的意识和获取途径。
本范围综述将绘制针对居住在社区中的 18 岁或以上、受中风影响的成年人及其非专业照护者的当前应对干预措施的交付模式、干预类型、地点、领导和环境。本综述将仅限于发表在英语中的研究，包括不被美国医疗保健覆盖范围报销的干预措施。
搜索将包括 CINAHL、Cochrane 图书馆、Embase、JBI 证据综合、MEDLINE、PEDro、PLoS、PsycINFO 和 Web of Science。此外，还将搜索较小的卫生相关数据库、中风和康复期刊、灰色文献和利益相关者组织网站。将采用三步搜索策略，包括使用引文软件管理搜索结果和去重、摘要审查和两名审查员的全文审查。然后，将纳入研究的详细信息导入信息管理软件。生成的地图将以表格形式显示，并附有叙述性摘要。
