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运用目标设定增强运动损伤后自我效能:批判性评价主题。

Use of Goal Setting to Enhance Self-Efficacy After Sports-Related Injury: A Critically Appraised Topic.

出版信息

J Sport Rehabil. 2019 Oct 2;29(4):498-502. doi: 10.1123/jsr.2019-0032. Print 2020 May 1.

Abstract

Clinical Scenario: Patients after sports-related injury experience deficits in self-efficacy. Goal setting may be an appropriate psychoeducation technique to enhance self-efficacy after sports-related injury. Clinical Question: Does goal setting-enhanced rehabilitation improve self-efficacy compared with traditional rehabilitation alone in individuals with sports-related injury? Summary of Key Findings: Two randomized controlled trials were included. The two studies selected assessed changes in self-efficacy before and after a goal-setting intervention following sports-related injury in an athletic population. Both studies used the Sports Injury Rehabilitation Beliefs Survey to evaluate self-efficacy. Clinical Bottom Line: There is currently consistent, good-quality, patient-oriented evidence that supports the use of goal setting to improve self-efficacy in patients undergoing rehabilitation for sports-related injury compared with the standard of care group. Future research should examine optimal timing for the implementation of goal setting in order to enhance self-efficacy following sports-related injury. Strength of Recommendation: The grade of A is recommended by the Strength of Recommendation Taxonomy for consistent, good-quality, patient-oriented evidence.

摘要

临床情境

运动相关损伤后的患者自我效能感降低。目标设定可能是一种增强运动相关损伤后自我效能感的适当心理教育技术。

临床问题

与传统康复相比,目标设定增强型康复是否能提高运动相关损伤患者的自我效能?

主要发现总结

纳入了两项随机对照试验。这两项研究均选择了在运动人群中,评估运动相关损伤后进行目标设定干预前后自我效能的变化。这两项研究均使用运动损伤康复信念量表评估自我效能。

临床结论

目前有一致性好、面向患者的高质量证据支持在接受运动相关损伤康复治疗的患者中使用目标设定来提高自我效能,与常规护理组相比。未来的研究应该研究目标设定的最佳实施时机,以提高运动相关损伤后的自我效能。

推荐强度

根据推荐分级的评估、制定与评价(GRADE)系统,该推荐强度为 A 级。这是因为有一致性好、面向患者的高质量证据支持。

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