Osborne Lauren Julia, Gowran Rosemary Joan, Casey Jackie
University of Hertfordshire, Hatfield, Hertfordshire, England.
Discipline Occupational Therapy, Faculty of Education and Health Sciences, School of Allied Health, Health Research Institute, Health Implementation Science and Technology, University of Limerick, Limerick, Ireland.
Br J Occup Ther. 2023 Mar;86(3):176-187. doi: 10.1177/03080226221148414. Epub 2023 Jan 12.
People with complex physical disabilities unable to change their position independently are at risk of developing postural deformities and secondary complications. 24-hour posture management is needed to protect body structure. With inconsistencies in current service provision, this research aimed to scope the evidence for a 24-hour posture management approach.
A scoping review was conducted using four health and social science databases. Inclusion and exclusion criteria were applied; further papers were included through citation chaining.
The evidence for 24-hour posture management was often low quality due to the complications of completing robust research studies in this complex specialty. However, many professionals in the field agree that a 24-hour approach to postural care is essential.
There is a need for clear national policy and guidance relating to postural care and scope for development of dedicated posture management services. Current NHS service provision is variable and inconsistent. Lack of postural care is a safeguarding and human rights issue. Specialist training and research in postural care within the Occupational Therapy profession is required to raise awareness of the role Occupational Therapists can play in preventing postural deformities and other secondary complications through providing good postural care.
身体存在复杂残疾且无法独立改变姿势的人有发生姿势畸形和继发性并发症的风险。需要进行24小时姿势管理以保护身体结构。鉴于当前服务提供存在不一致的情况，本研究旨在梳理24小时姿势管理方法的证据。
使用四个健康与社会科学数据库进行了一项范围综述。应用了纳入和排除标准；通过引文链纳入了更多论文。
由于在这个复杂专业领域开展强有力的研究存在困难，24小时姿势管理的证据质量往往较低。然而，该领域的许多专业人员一致认为，采用24小时姿势护理方法至关重要。
需要有明确的国家政策和有关姿势护理的指导意见，以及发展专门姿势管理服务的空间。目前国民保健服务体系的服务提供情况参差不齐且不一致。缺乏姿势护理是一个保障和人权问题。职业治疗专业需要开展姿势护理方面的专业培训和研究，以提高人们对职业治疗师通过提供良好的姿势护理在预防姿势畸形和其他继发性并发症方面所起作用的认识。
