成人电损伤幸存者的康复：范围综述

IF 2.9 3区医学 Q2 CRITICAL CARE MEDICINE

Burns Pub Date : 2025-06-08 DOI:10.1016/j.burns.2025.107573

Susan Zahir , Sander Hitzig , Sarah Munce , Jessica Shiers , Matthew Godleski , Marina Wasilewski

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引用次数: 0

摘要

背景电伤（ei）会对人体多个系统造成严重损害，并对康复构成重大挑战，通常会导致住院时间延长，延迟重返工作岗位，以及更高的精神健康问题发生率。虽然EI幸存者面临着与其他烧伤幸存者不同的独特的身体、神经和心理挑战，但缺乏针对这一人群的康复研究。目的本综述的目的是综合现有的关于康复干预对EI幸存者的影响的文献，并研究证据基础如何随着时间的推移而演变。方法本综述遵循乔安娜布里格斯研究所（JBI）概述的方法。研究通过PsycINFO、OVID MEDLINE、EMBASE、Healthstar、AMED、Web of Science、Scopus和CINAHL（包括CINAHL Plus全文）进行鉴定。纳入的文章必须关注接受康复治疗的成年EI幸存者。提取出版年份、研究国家、康复干预类型、涉及的康复专业人员、康复地点、康复持续时间和频率、结果测量和结果。结果本综述共纳入53项研究。我们的范围回顾绘制了EI幸存者康复的文献，突出了主要关注物理干预，最近一些关注心理和社会结果。大多数研究是病例报告，显示干预特征和结果报告不一致。结论本综述强调需要综合的、多学科的方法、标准化的报告指南和未来的研究，包括随机对照试验，以改善EI幸存者的康复和为临床实践指南提供信息。通过确定知识上的差距并为未来的研究提供建议，我们的综述为促进EI幸存者的护理和治疗提供了路线图。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Rehabilitation of adult electrical injury survivors: A scoping review

Background

Electrical injuries (EIs) result in severe damage to multiple body systems and pose significant challenges for recovery, often leading to prolonged hospital stays, delayed return to work, and higher rates of mental health issues. While EI survivors face unique physical, neurological, and psychological challenges distinct from other burn injury survivors, there is a lack of research on rehabilitation specific to this population.

Objective

The purpose of this scoping review is to synthesize the available literature on what rehabilitation interventions entail for EI survivors and examine how the evidence base has evolved over time.

Methods

This scoping review followed the methodology outlined by the Joanna Briggs Institute (JBI). Studies were identified through PsycINFO, OVID MEDLINE, EMBASE, Healthstar, AMED, Web of Science, Scopus, and CINAHL, including CINAHL Plus with Full Text. Included articles must have focused on adult EI survivors who received rehabilitation. Year of publication, country of study, type of rehabilitation intervention, rehabilitation professionals involved, place of rehabilitation, duration and frequency of rehabilitation, outcome measures, and findings were extracted.

Results

53 studies were included in this review. Our scoping review mapped the literature on rehabilitation for EI survivors, highlighting a predominant focus on physical interventions, with some recent attention to psychological and social outcomes. Most studies were case reports, showing inconsistencies in intervention characteristics and outcome reporting.

Conclusion

The review emphasizes the need for comprehensive, multidisciplinary approaches, standardized reporting guidelines, and future research, including RCTs, to improve rehabilitation and inform clinical practice guidelines for EI survivors. By identifying gaps in knowledge and offering recommendations for future research, our review serves as a roadmap for advancing the care and treatment of EI survivors.

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来源期刊

Burns 医学-皮肤病学

CiteScore

4.50

自引率

18.50%

发文量

304

审稿时长

72 days

期刊介绍： Burns aims to foster the exchange of information among all engaged in preventing and treating the effects of burns. The journal focuses on clinical, scientific and social aspects of these injuries and covers the prevention of the injury, the epidemiology of such injuries and all aspects of treatment including development of new techniques and technologies and verification of existing ones. Regular features include clinical and scientific papers, state of the art reviews and descriptions of burn-care in practice. Topics covered by Burns include: the effects of smoke on man and animals, their tissues and cells; the responses to and treatment of patients and animals with chemical injuries to the skin; the biological and clinical effects of cold injuries; surgical techniques which are, or may be relevant to the treatment of burned patients during the acute or reconstructive phase following injury; well controlled laboratory studies of the effectiveness of anti-microbial agents on infection and new materials on scarring and healing; inflammatory responses to injury, effectiveness of related agents and other compounds used to modify the physiological and cellular responses to the injury; experimental studies of burns and the outcome of burn wound healing; regenerative medicine concerning the skin.