Sulli Sara, Scala Luca, Berardi Anna, Conte Antonella, Baione Viola, Belvisi Daniele, Leodori Giorgio, Galeoto Giovanni
Sapienza University of Rome, Rome, Italy.
Department of Human Neurosciences, Sapienza University of Rome, Viale Dell' Università, Rome, Italy.
Expert Rev Neurother. 2021 Apr;21(4):455-461. doi: 10.1080/14737175.2021.1890034. Epub 2021 Feb 23.
Individuals with Guillain-Barrè syndrome (GBS) showed significant longer-term psychological sequelae, due to persistent disability. In recent years, great advances have been made in medical care for patients with GBS. However, the focus has been mainly on patient care in the acute phase and improving survival instead of long-term disability. The purpose of this study was to evaluate the efficacy of rehabilitation in people with GBS through a systematic review of randomized controlled trials.
PRISMA guidelines were used to perform this systematic review. Six bibliographic databases were searched: PUBMED, WEB OF SCIENCE, PEDro, CINHAL, PSYCHINFO, and SCOPUS. Papers included in the systematic review should have a search design of a randomized controlled trial. The quality of the clinical trials included was evaluated according to Jadad score.
After eliminating duplicates, 472 records got screened, three RCTs were included in the systematic review. Overall, the analysis of the three randomized controlled trials showed that various types of rehabilitation interventions are correlated to an improvement in the patient's well-being. Finally, it is not possible to extrapolate definite conclusions on the effectiveness of rehabilitation treatment in patients with GBS. Therefore, high-quality future studies are needed to confirm these hypotheses.
由于持续性残疾,吉兰 - 巴雷综合征(GBS)患者表现出显著的长期心理后遗症。近年来,GBS患者的医疗护理取得了巨大进展。然而,重点主要放在急性期患者护理和提高生存率上,而非长期残疾问题。本研究的目的是通过对随机对照试验的系统评价来评估GBS患者康复治疗的疗效。
采用PRISMA指南进行本系统评价。检索了六个文献数据库:PUBMED、科学网、PEDro、CINHAL、PSYCHINFO和SCOPUS。纳入系统评价的论文应具有随机对照试验的研究设计。根据Jadad评分评估所纳入临床试验的质量。
在剔除重复记录后,筛选了472条记录,三项随机对照试验纳入系统评价。总体而言,对这三项随机对照试验的分析表明,各种类型的康复干预与患者幸福感的改善相关。最后,无法推断出关于GBS患者康复治疗有效性的确切结论。因此,需要高质量的未来研究来证实这些假设。