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成人慢性肌肉骨骼疾病的综合护理:一项范围综述方案

Integrated care for adults with chronic musculoskeletal disorders: a scoping review protocol.

作者信息

Chala Mulugeta Bayisa, Elliott Jacobi, Baker G Ross, Walton David M, Steele Micheline, Schabrun Siobhan

机构信息

St. Joseph's Health Care London, London, ON, Canada.

The Gray Centre for Mobility and Activity, Parkwood Institute, London, ON, Canada.

出版信息

JBI Evid Synth. 2025 Jan 1;23(1):188-196. doi: 10.11124/JBIES-23-00534. Epub 2025 Jan 2.

Abstract

OBJECTIVE

The objective of this scoping review is to describe the current evidence exploring integrated care for people with chronic musculoskeletal disorders.

INTRODUCTION

The integrated model of care is an emerging approach to delivering person-centered care. Integrated care supports the management of people with major chronic health conditions; however, the evidence behind its use to support people with chronic musculoskeletal disorders is scant. This scoping review will synthesize how integrated care is conceptualized, delivered, and evaluated for people with chronic musculoskeletal disorders. The review will also synthesize the attributes, components, elements, goals, frequently evaluated outcomes, theories/frameworks, and facilitators and barriers to delivering this model among people with musculoskeletal disorders.

INCLUSION CRITERIA

Studies conducted on the delivery and/or evaluation of integrated care for people with chronic musculoskeletal disorders in any health care setting (eg, primary, secondary, tertiary) and/or geographical location (countries, cultures) will be considered.

METHODS

The review will follow the JBI scoping review methodology. Databases such as MEDLINE (Ovid), CINAHL (EBSCOhost), Scopus, Embase (Ovid), PsycINFO (Ovid), the JBI EBP Database, PEDRO, Cochrane Central Register of Controlled Trials (CENTRAL), Google Scholar, and Web of Science, as well as sources of gray literature, will be thoroughly searched. Papers published in all languages will be considered. Two reviewers will independently review the selected articles and extract data using a data extraction tool developed for this scoping review. The analysis will involve numerical and descriptive summaries of the selected articles and will be presented using graphs and tables, in line with Preferred Reported Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR).

摘要

目的

本综述的目的是描述目前探索慢性肌肉骨骼疾病患者综合护理的证据。

引言

综合护理模式是一种新兴的以患者为中心的护理方式。综合护理有助于管理患有主要慢性健康问题的人群;然而,其用于支持慢性肌肉骨骼疾病患者的证据却很少。本综述将综合阐述慢性肌肉骨骼疾病患者的综合护理是如何被概念化、实施和评估的。该综述还将综合肌肉骨骼疾病患者中实施该模式的属性、组成部分、要素、目标、经常评估的结果、理论/框架以及促进因素和障碍。

纳入标准

将考虑在任何医疗环境(如初级、二级、三级)和/或地理位置(国家、文化)中对慢性肌肉骨骼疾病患者进行综合护理的实施和/或评估的研究。

方法

本综述将遵循JBI综述方法。将全面检索MEDLINE(Ovid)、CINAHL(EBSCOhost)、Scopus、Embase(Ovid)、PsycINFO(Ovid)、JBI循证数据库、PEDRO、Cochrane对照试验中心注册库(CENTRAL)、谷歌学术和科学网等数据库,以及灰色文献来源。将考虑所有语言发表的论文。两名评审员将独立评审所选文章,并使用为本综述开发的数据提取工具提取数据。分析将包括所选文章的数值和描述性总结,并将按照系统评价和Meta分析扩展的首选报告项目(PRISMA-ScR)以图表形式呈现。

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