身体活动与脊髓损伤个体心理健康之间的关系：系统评价方案。

The Relationship Between Physical Activity and Mental Health Among Individuals With Spinal Cord Injury: Protocol for a Scoping Review.

机构信息

Pusat Rehabilitasi PERKESO Tun Abdul Razak, Melaka, Malaysia.

Center for Rehabilitation and Special Needs Studies, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.

出版信息

JMIR Res Protoc. 2024 Jun 12;13:e56081. doi: 10.2196/56081.

DOI:10.2196/56081

PMID:38865699

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11208830/

Abstract

BACKGROUND

Spinal cord injury (SCI) is a devastating condition that often leads to significant impairments in physical function, leading to disability and mental health disorders. Hence, understanding the prevalence of SCI and the relationship between physical activity and mental health in individuals with SCI is crucial for informing rehabilitation strategies and optimizing outcomes.

OBJECTIVE

This study aims to comprehensively analyze existing research on the link between physical activity and mental health and identify the level of physical activity and mental health status, the barriers to physical activity, and SCI's impacts on psychological well-being in individuals with SCI.

METHODS

An electronic search strategy will be used to identify prevalence studies published since 1993 in health-related databases such as PubMed, MEDLINE, COCHRANE Library, and Wiley Library using the following query: "Spinal Cord Injury" OR "Paraplegia" OR "Tetraplegia" AND "Physical Activity" OR "Exercise" AND "Mental Health" OR "Mental Illness" OR "Mental Disorder." Bibliographies of primary studies and review articles meeting the inclusion criteria will be searched manually to identify further eligible studies. The risk of bias in the included studies will be appraised using the Joanna Briggs Institute checklist for prevalence studies by 2 review authors. Any disagreement will be resolved by reaching a consensus.

RESULTS

Funding was received in October 2023, data collection will commence in July 2024, and the results are expected by 2025. We will summarize the selection of the eligible studies using a flowchart. The data from the studies will be extracted and tabulated. This scoping review will be published in a peer-reviewed journal in accordance with PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) guidelines.

CONCLUSIONS

This scoping review underscores the complex relationship between physical activity and mental health among individuals with SCI, highlighting the level of physical activity and mental health status, barriers to physical activity engagement, and psychological implications. Understanding these dynamics is crucial in devising tailored interventions aimed at enhancing mental well-being. This synthesis of evidence emphasizes the need for personalized strategies to promote physical activity, addressing unique challenges faced by this population to foster improved mental health outcomes and overall quality of life.

TRIAL REGISTRATION

Open Science Framework osf.io/ugx7d; https://osf.io/ugx7d/.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/56081.

摘要

背景

脊髓损伤（SCI）是一种破坏性疾病，常导致身体功能严重受损，导致残疾和精神健康障碍。因此，了解 SCI 的患病率以及身体活动与 SCI 患者心理健康之间的关系对于为康复策略提供信息和优化结果至关重要。

目的

本研究旨在全面分析现有的身体活动与心理健康之间的联系研究，并确定 SCI 患者的身体活动水平和心理健康状况、身体活动障碍以及 SCI 对心理健康的影响。

方法

将使用电子搜索策略在健康相关数据库中（如 PubMed、MEDLINE、Cochrane 图书馆和 Wiley 图书馆）自 1993 年以来发表的患病率研究进行检索，使用以下查询词：“Spinal Cord Injury”或“Paraplegia”或“Tetraplegia”AND“Physical Activity”或“Exercise”AND“Mental Health”或“Mental Illness”或“Mental Disorder”。将手动搜索主要研究和综述文章的参考文献，以确定其他合格的研究。两名审查员将使用 Joanna Briggs 研究所的患病率研究清单评估纳入研究的偏倚风险。任何分歧将通过达成共识来解决。

结果

研究经费于 2023 年 10 月获得，数据收集将于 2024 年 7 月开始，预计结果将于 2025 年公布。我们将使用流程图总结合格研究的选择。将从研究中提取和制表数据。本范围综述将按照 PRISMA-ScR（系统评价和荟萃分析扩展的首选报告项目）指南发表在同行评议的期刊上。

结论

本范围综述强调了 SCI 患者身体活动与心理健康之间的复杂关系，突出了身体活动水平和心理健康状况、身体活动障碍以及心理影响。了解这些动态对于制定旨在增强心理健康的个性化干预措施至关重要。这一证据综合强调了需要针对这一人群制定个性化策略，以促进身体活动，解决他们面临的独特挑战，从而促进改善心理健康结果和整体生活质量。