Department of Physiotherapy, Faculty of Therapeutic Sciences, University of the Witwatersrand, Johannesburg, South Africa.
The Wits - JBI Centre for Evidenced-Based Practice: a Joanna Briggs Institute Affiliated Group.
JBI Evid Synth. 2020 Mar;18(3):626-632. doi: 10.11124/JBISRIR-D-18-00015.
The objective of the review is to map existing evidence and to provide an overview of the prevention strategies for secondary health conditions that have been reported in people with spinal cord injuries.
Spinal cord injury is a physical disability caused by a lesion in the spinal cord resulting in a loss of sensory and motor function below the affected area. In the lifespan of a person living with spinal cord injury, at least one preventable secondary health condition will develop. These conditions can be predictable and potentially prevented.
This review will consider studies that include participants 18 years and over with spinal cord injury and report on prevention strategies for secondary health conditions (e.g. pressure sores, urinary tract infection, pain) at all levels of disease prevention (primary, secondary and tertiary level). Studies of any design conducted in a clinical (hospital and primary healthcare facility), home or community-based setting will be considered.
A three-step search strategy will be used in this review, with an initial search of MEDLINE (PubMed) and CINAHL. Databases to be searched include: PubMed, PEDro, CINAHL, Embase, Scopus, Health Source: Nursing/Academic Edition and SPORTDiscus. Government resources (Department of Health website), World Health Organization, Google Scholar and OpenGrey will be searched for unpublished studies. Titles and abstracts will be screened by two independent reviewers. Studies that meet the inclusion criteria will be retrieved and assessed. Results will be presented in narrative and tabular form.
本次综述旨在梳理现有证据，并概述已报道的脊髓损伤患者继发健康状况的预防策略。
脊髓损伤是一种由脊髓损伤引起的身体残疾，导致受影响区域以下的感觉和运动功能丧失。在脊髓损伤患者的一生中，至少会出现一种可预防的继发健康状况。这些情况是可以预测的，并且有可能预防。
本次综述将考虑纳入年龄在 18 岁及以上的脊髓损伤参与者的研究，并报告针对继发健康状况（如压疮、尿路感染、疼痛）的预防策略，涵盖疾病预防的各个层面（一级、二级和三级预防）。将考虑任何设计的研究，包括在临床（医院和初级保健机构）、家庭或社区环境中进行的研究。
本次综述将采用三步搜索策略，首先在 MEDLINE（PubMed）和 CINAHL 上进行搜索。将搜索的数据库包括：PubMed、PEDro、CINAHL、Embase、Scopus、Health Source：Nursing/Academic Edition 和 SPORTDiscus。还将搜索政府资源（卫生部网站）、世界卫生组织、Google Scholar 和 OpenGrey 以获取未发表的研究。两名独立审查员将筛选标题和摘要。符合纳入标准的研究将被检索并评估。结果将以叙述和表格形式呈现。
