学生竞赛(知识生成) ID 1985151

IF 2.4 Q1 REHABILITATION
Lauren Cadel, Stephanie R. Cimino, Glyneva Bradley-Ridout, S. L. Hitzig, Tanya L Packer, Lisa M McCarthy, Tejal Patel, Aisha K Lofters, Shoshana Hahn-Goldberg, Chester H Ho, S. Guilcher
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引用次数: 0

摘要

外伤性脊髓损伤(SCI)患者通常会使用多种药物来控制继发性并发症和并发症。尽管多重用药现象普遍存在,药物管理也面临挑战,但支持 SCI 患者进行药物自我管理的工具却很少。 本次范围界定综述旨在确定并总结有关创伤性 SCI 成年人药物自我管理干预的文献报道。 我们在电子数据库和灰色文献中检索了相关文章。纳入的文章必须包括创伤性 SCI 成年人群和针对药物管理的干预措施。这些文章必须包含自我管理的内容。对文章进行独立筛选,并采用描述性方法提取和综合数据。 本次范围界定综述共纳入三项研究。干预措施包括一个移动应用程序和两个基于教育的干预措施,分别针对 SCI 自我管理、药物管理和疼痛管理。所确定的干预措施均未全面涉及药物自我管理。对学习成果(感知知识和信心)、行为成果(管理策略、数据录入)和临床成果(用药次数、疼痛评分、功能成果)进行了评估。干预措施的结果各不相同,但也取得了一些积极成果,如认知知识和信心有所提高,减少了多种止痛药物的使用。 总体而言,针对 SCI 患者药物自我管理的干预措施非常有限。通过共同设计和实施全面解决自我管理问题的干预措施,我们有机会为这一人群提供更好的支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Student Competition (Knowledge Generation) ID 1985151
Persons with traumatic spinal cord injury (SCI) are often experience polypharmacy, the use of multiple medications, to manage secondary complications and concurrent conditions. Despite the prevalence of polypharmacy and challenges associated with managing medications, there are few tools to support persons with SCI with medication self-management. The purpose of this scoping review was to identify and summarize what is reported in the literature on medication self-management interventions for adults with traumatic SCI. Articles were searched on electronic databases and grey literature. For inclusion, articles were required to include an adult population with a traumatic SCI and an intervention targeting medication management. They had to incorporate a component of self-management. Articles were independently screened and data were extracted and synthesized using descriptive approaches. Three studies were included in this scoping review. Interventions included a mobile app and two education-based interventions to address self-management of SCI, medication management, and pain management. None of the identified interventions addressed medication self-management comprehensively. Learning outcomes (perceived knowledge and confidence), behavioural outcomes (management strategies, data entry), and clinical outcomes (number of medications, pain scores, functional outcomes) were evaluated. Results of the interventions varied, but some positive outcomes were noted, with improvements in perceived knowledge and confidence and a reduction in the use of multiple pain medications. Overall, there are limited interventions targeting medication self-management for persons with SCI. There is an opportunity better support this population through the co-design and implementation of an intervention that comprehensively addresses self-management.
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来源期刊
CiteScore
3.20
自引率
3.40%
发文量
33
期刊介绍: Now in our 22nd year as the leading interdisciplinary journal of SCI rehabilitation techniques and care. TSCIR is peer-reviewed, practical, and features one key topic per issue. Published topics include: mobility, sexuality, genitourinary, functional assessment, skin care, psychosocial, high tetraplegia, physical activity, pediatric, FES, sci/tbi, electronic medicine, orthotics, secondary conditions, research, aging, legal issues, women & sci, pain, environmental effects, life care planning
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