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心理教育干预对促进中风后自我护理的有效性:一项系统文献综述。

Effectiveness of psychoeducational intervention in promoting post-stroke self-care: a systematic literature review.

作者信息

Nungulo Victor Nhime, Gonçalves Mauer, Henriques Maria Adriana, Baixinho Cristina Lavareda

机构信息

Faculty of Medicine of Huambo, José Eduardo dos Santos University, Huambo, Angola.

Centre for Research, Innovation and Development in Nursing, Lisbon (CIDNUR), Lisbon, Portugal.

出版信息

Front Rehabil Sci. 2025 Jun 6;6:1569526. doi: 10.3389/fresc.2025.1569526. eCollection 2025.

Abstract

BACKGROUND

Stroke is one of the main causes of morbidity and mortality in the world, and sequelae include physical disability, difficulties with independence for self-care, and loss of mobility and quality of life.

OBJECTIVE

this study was to summarize the evidence about the effectiveness of psychoeducational interventions in promoting post-stroke self-care.

METHODS

A systematic literature review was carried out per the Cochrane recommendations. The following databases were included: MEDLINE (via PubMed), Scopus, CINAHL Complete, Cochrane, JBI, and B-on. The study as performed between December 2023 and February 2024, according to the eligibility criteria, by two independent reviewers. The bibliographic sample was evaluated for risk of bias using RoB 2, only clinical trials were included.

RESULTS

The seven articles selected, from 2019 to 2024 evaluated education to promote care and self-care; rehabilitation programmes with physical exercise; management of stress, depression and anxiety; and symptom management. Interventions relating to awareness and knowledge about post-stroke, development of healthy behavior and lifestyle reinforcement of self-care capacity.

CONCLUSIONS

This literature review found that in some studies the implementation of psychoeducational interventions improves the knowledge, independence and self-care of this population and their families, although not all of them were equally effective. The results of the articles reinforce that psychoeducational interventions may increase functional independence and the ability to carry out activities of daily living and improve health and quality of life.

SYSTEMATIC REVIEW REGISTRATION

https://www.crd.york.ac.uk/PROSPERO/view/CRD42023483087, PROSPERO CRD42023483087.

摘要

背景

中风是全球发病和死亡的主要原因之一,其后遗症包括身体残疾、自我护理独立困难、行动能力丧失和生活质量下降。

目的

本研究旨在总结心理教育干预在促进中风后自我护理有效性方面的证据。

方法

按照Cochrane推荐进行系统的文献综述。纳入以下数据库:MEDLINE(通过PubMed)、Scopus、CINAHL Complete、Cochrane、JBI和B-on。根据纳入标准,由两名独立评审员在2023年12月至2024年2月期间进行研究。使用RoB 2评估文献样本的偏倚风险,仅纳入临床试验。

结果

2019年至2024年选取的七篇文章评估了促进护理和自我护理的教育;体育锻炼康复计划;压力、抑郁和焦虑的管理;以及症状管理。这些干预措施涉及中风后的认知和知识、健康行为的养成以及自我护理能力的生活方式强化。

结论

本综述发现,在一些研究中,心理教育干预的实施改善了该人群及其家庭的知识、独立性和自我护理能力,尽管并非所有干预措施都同样有效。文章结果强化了心理教育干预可能增加功能独立性和进行日常生活活动的能力,并改善健康和生活质量。

系统评价注册

https://www.crd.york.ac.uk/PROSPERO/view/CRD42023483087,PROSPERO CRD42023483087。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47f7/12179131/c3701b8f869b/fresc-06-1569526-g001.jpg

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