Department of Neurobiology, Care Sciences and Society, 27106Karolinska Institutet, Huddinge, Sweden.
Women's Health and Allied Health Professionals Theme, Karolinska University Hospital, Stockholm, Sweden.
Clin Rehabil. 2023 Feb;37(2):162-176. doi: 10.1177/02692155221128723. Epub 2022 Sep 29.
OBJECTIVE: Falls are common in people with multiple sclerosis. There is rising interest in how the multifactorial and chronic nature of fall risk among people with multiple sclerosis can be addressed through self-management. Thus, the aims were to investigate the extent and the scope of publications on self-management of falls in people with multiple sclerosis, and to identify how the concept of self-management was defined and used. DATA SOURCES: A systematic literature search in Medline, Cochrane, Web of Science and PsycInfo was conducted to identify publications until July 2022. REVIEW METHODS: Published methodological guidance was followed. Articles targeting: (1) people with multiple sclerosis, (2) falls, and (3) self-management were selected. Of 1656 records, 203 publications were assessed for eligibility, of which 173 did not meet the inclusion criteria, and 16 publications did not contain empirical data. The type of publication, study focus, and study design was extracted. If applicable, key findings, self-management tasks and skills, and the definition of self-management were extracted. RESULTS: Fourteen original articles met all inclusion criteria. Ten articles represented six different fall prevention interventions. Three publications were randomized controlled trials. Self-management content was variable and not comprehensive in nature. None of the 14 publications included a self-management definition. CONCLUSION: The limited number of original articles and the even fewer intervention studies show that the research on self-management of falls in people with multiple sclerosis is in its infancy. To progress in the research area of self-management of falls, a more robust, consensus-based description of self-management frameworks and activities is needed.
目的:多发性硬化症患者常发生跌倒。人们越来越关注如何通过自我管理来解决多发性硬化症患者跌倒风险的多因素和慢性性质。因此,本研究旨在调查多发性硬化症患者跌倒的自我管理的出版物的范围和程度,并确定自我管理的概念是如何定义和使用的。
数据来源:对 Medline、Cochrane、Web of Science 和 PsycInfo 进行了系统的文献检索,以确定截至 2022 年 7 月的出版物。
审查方法:遵循已发表的方法学指南。选择针对以下内容的文章:(1)多发性硬化症患者,(2)跌倒,和(3)自我管理。在 1656 条记录中,有 203 篇出版物符合入选标准,其中 173 篇不符合入选标准,16 篇出版物没有包含实证数据。提取了出版物的类型、研究重点和研究设计。如果适用,则提取关键发现、自我管理任务和技能以及自我管理的定义。
结果:符合所有纳入标准的有 14 篇原始文章。其中 10 篇文章代表了六种不同的跌倒预防干预措施。三篇出版物为随机对照试验。自我管理内容各不相同,且不全面。14 篇出版物中没有一篇包含自我管理的定义。
结论:原始文章数量有限,干预研究更少,这表明多发性硬化症患者跌倒的自我管理研究仍处于起步阶段。为了在跌倒的自我管理研究领域取得进展,需要更强大、基于共识的自我管理框架和活动描述。
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