远程康复在职业治疗实践中的作用:一项系统综述。

Goris Hung Kn, Kenneth Nk Fong
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引用次数: 63

摘要

目的/背景:本研究旨在回顾近10年来远程康复在职业治疗实践中的应用及其临床效果。方法:对2008 - 2017年间发表的英文研究进行系统回顾,检索自7个电子数据库(MEDLINE、Cochrane Library、CINAHL、Web of Science、SAGE、Science Direct和EMBASE)。只有评估远程康复在远距离提供职业治疗服务的文章被纳入,没有病理、损伤、年龄或职业治疗干预性质的限制。结果:共回顾了15篇文献(3篇随机对照试验、8篇准实验研究、1篇单组干预后试验和3篇病例研究)。尽管有各种各样的研究设计和结果测量,大多数研究表明在职业治疗实践中使用远程康复的积极治疗效果。然而,没有足够的证据证实远程康复比面对面的模式更有效。关于长期效果和成本效益的证据很少。只有两项研究在应用程序中使用了智能手机。结论:远程康复为职业治疗提供了另一种服务模式,不仅可以缩短距离,而且可以为患者提供人性化的在家治疗。需要进一步研究,特别是关于使用最尖端的移动技术的研究,以确定职业治疗实践在治疗各种疾病、状况和损伤方面的有效性,以及患者、干预措施和治疗师的特点,以确定最适合这种替代性和新兴的服务提供形式。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Effects of telerehabilitation in occupational therapy practice: A systematic review.

Effects of telerehabilitation in occupational therapy practice: A systematic review.

Effects of telerehabilitation in occupational therapy practice: A systematic review.

Effects of telerehabilitation in occupational therapy practice: A systematic review.

Objective/background: This study aimed to review the current evidence on the application of telerehabilitation in occupational therapy practice and its clinical outcomes over the last 10 years.

Methods: A systematic review was performed on studies published in English in the decade 2008 to 2017, retrieved from seven electronic databases (MEDLINE, Cochrane Library, CINAHL, Web of Science, SAGE, Science Direct and EMBASE). Only articles evaluating the use of telerehabilitation to provide occupational therapy services from a distance were included, with no restrictions on pathology, impairment, age, or the nature of occupational therapy intervention.

Results: Fifteen articles (three randomised controlled trials, eight quasi-experimental studies, one trial with single-group post-intervention and three case studies) were reviewed. Despite various study designs and outcome measures, most studies indicated positive therapeutic effects of using telerehabilitation in occupational therapy practice. There is insufficient evidence, however, to confirm that telerehabilitation is more effective than the face-to-face model. Little evidence was shown on the long-term effect and cost efficacy. Only two studies used smartphones in their applications.

Conclusion: Telerehabilitation offers an alternative service delivery model for occupational therapy, not only bridging distance but also offering user-friendly treatment for patients at home. Further research, particularly on the use of the most cutting-edge mobile technology, is needed to determine effectiveness in occupational therapy practice treating various diseases, conditions and impairments and the characteristics of patients, interventions and therapists that lead to the best fit with this alternative and emerging form of service delivery.

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