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涉及神经退行性运动障碍患者护理伙伴的自我管理干预措施:一项范围综述

Self-management interventions involving care partners of individuals with neurodegenerative movement disorders: a scoping review.

作者信息

Crozier Olivia, Cimino Stephanie R, Alvarez Liliana, Johnson Andrew M, Holmes Jeff D

机构信息

Parkwood Institute, St. Josephs Healthcare, London, Canada.

School of Occupational Therapy, The University of Western Ontario, London, Canada.

出版信息

Disabil Rehabil. 2025 Apr 28:1-20. doi: 10.1080/09638288.2025.2496784.

Abstract

PURPOSE

This scoping review aims to explore the components of existing self-management interventions involving care partners of individuals with neurodegenerative movement disorders (NMDs). The review seeks to describe the key components, categorize different types and approaches using the PRISMS taxonomy.

METHODS

A comprehensive search was conducted in five databases: SCOPUS, CINAHL, MEDLINE, PsycINFO, and Embase. Articles were included if they involved self-management interventions for adult care partners of individuals with NMDs. Data extraction was guided by the PRISMS, TEDSS and TIDieR frameworks, focusing on intervention characteristics, components, outcome measures, theories, and formats.

RESULTS

The review included 34 articles, with most interventions targeting Parkinson's Disease. Interventions varied widely in structure, delivery format, setting and content. Psychological and internal strategies were the most frequently utilized components. Notably, only 11 interventions were specifically designed for care partners.

CONCLUSION

This scoping review provides key insights into the diverse elements of self-management interventions for NMDs, including their structure, delivery format, and components. It highlights the lack of comprehensive dyadic interventions that support both individuals with NMDs and their care partners. Future research should explore the integration of personalization, communication training and dyadic coping strategies.

摘要

目的

本范围综述旨在探讨现有涉及神经退行性运动障碍(NMD)患者护理伙伴的自我管理干预措施的组成部分。该综述旨在描述关键组成部分,使用PRISMS分类法对不同类型和方法进行分类。

方法

在五个数据库中进行了全面检索:SCOPUS、CINAHL、MEDLINE、PsycINFO和Embase。如果文章涉及针对NMD患者成年护理伙伴的自我管理干预措施,则将其纳入。数据提取以PRISMS、TEDSS和TIDieR框架为指导,重点关注干预特征、组成部分、结果测量、理论和形式。

结果

该综述纳入了34篇文章,大多数干预措施针对帕金森病。干预措施在结构、实施形式、环境和内容方面差异很大。心理和内部策略是最常用的组成部分。值得注意的是,只有11项干预措施是专门为护理伙伴设计的。

结论

本范围综述为NMD自我管理干预措施的不同要素提供了关键见解,包括其结构、实施形式和组成部分。它强调了缺乏支持NMD患者及其护理伙伴的全面二元干预措施。未来的研究应探索个性化、沟通培训和二元应对策略的整合。

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