基于知识转化模式构建的手部烧伤患者住院期间手功能康复管理方案
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摘要
目的构建成人手部烧伤患者住院期间手功能康复管理方案。方法采用知识到行动(KTA)理论框架,检索OVID JBI、Cochranel Library、EBSCO循证护理学数据库、PubMed、EMbase、FEBM临床决策循证数据库、CNKI、万方、CBM等数据库中手功能康复相关临床实践指南、证据总结、系统评价、综述,按步骤进行文献筛选、评价、证据提取、阻碍因素评估,修订成手功能康复管理方案。结果共纳入10篇文献。构建的管理方案包括手功能康复干预方案及实施流程。结论以KTA框架构建的方案对烧伤手功能康复具有一定指导作用。
Objective To construct a management program of hand function rehabilitation for adult inpatients after hand burn.Methods Literatures of clinical practice guideline, evidence summary, systematic review and review were searched from OVID JBI, Cochranel Library, EBSCO, PubMed、EMbase、FEBM, CNKI, Wanfang Data and CBM, and so on.They were screened, evaluated, extracted evidence, found hinder factors following the steps of Knowledge to Action(KTA). Finally, a hand function rehabilitation management program was constructed.Results Ten literatures were included. The management program included hand function rehabilitation intervention program and implementation procedures.Conclusion Based on KTA framework, the hand function rehabilitation management program after burn can be used in clinic.
Objective To construct a management program of hand function rehabilitation for adult inpatients after hand burn.Methods Literatures of clinical practice guideline, evidence summary, systematic review and review were searched from OVID JBI, Cochranel Library, EBSCO, PubMed、EMbase、FEBM, CNKI, Wanfang Data and CBM, and so on.They were screened, evaluated, extracted evidence, found hinder factors following the steps of Knowledge to Action(KTA). Finally, a hand function rehabilitation management program was constructed.Results Ten literatures were included. The management program included hand function rehabilitation intervention program and implementation procedures.Conclusion Based on KTA framework, the hand function rehabilitation management program after burn can be used in clinic.
引文
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[2]谢卫国.从中外比较看我国烧伤防治体系建设[J].中华烧伤杂志,2013,29(2):126-129.
[3]王康安,伍国胜,孙瑜,等.手烧伤瘢痕挛缩的预防和治疗研究进展[J].中华烧伤杂志,2017,33(1):58-61.
[4]Pan B S,Vu A T,Yakuboff K P.Management of the acutely burned hand[J].J Hand Surg Am,2015,40(7):1477-1484,1485.
[5]Dunpath T,Chetty V,van der Reyden D.Acute burns of the hands-physiotherapy perspective[J].Afr Health Sci,2016,16(1):266-275.
[6]吴红娟,朱秀梅,刘晓梅,等.简易手指蹼训练组合支具对烧伤后手指蹼粘连的效果[J].中国康复理论与实践,2016,22(11):1347-1349.
[7]Williams N,Stiller K,Greenwood J,et al.Physical and quality of life outcomes of patients with isolated hand burns-a prospective audit[J].J Burn Care Res,2012,33(2):188.
[8]Richard R,Baryza M J,Carr J A,et al.Burn rehabilitation and research:proceedings of a consensus summit[J].J Burn Care Res,2009,30(4):543-573.
[9]Canadian Institutes of Health Research.Knowledge translation&commercialization[DB/OL].(2017-04-27).http://www.cihrirsc.gc.ca/e/39033.html.
[10]Rycroftmalone J,Bucknall T.Models and Frameworks for Implementing Evidence-Based Practice:Linking Evidence to Action[M].Hoboken:John Wiley&Sons Ltd.,2010.
[11]林凤芝,于书慧,李晶.知识转化的概念及理论框架[J].中国护理管理,2016,16(9):1161-1164.
[12]Graham I D,Logan J,Harrison M B,et al.Lost in knowledge translation:Time for a map?[J].J Contin Educ Health Prof,2006,26(1):13-24.
[13]周英凤,胡雁,顾艳荭,等.知识转化模式在循证实践中的应用[J].护理学杂志,2016,31(2):84-87.
[14]张寅升,李昊旻,段会龙.面向循证医学知识转化的相关概念及研究现状[J].中国全科医学,2016,19(19):2358-2364.
[15]胡雁.循证护理学[M].北京:人民卫生出版社,2012:94-104.
[16]Young A W,Graves C,Kowalske K J,et al.Guideline for Burn Care under Austere Conditions:Special Care Topics[J].JBurn Care Res,2017,38(2):e497-e509.
[17]Chinese Burn Association,Chinese Association of Burn Surgeons.Guidelines for burn rehabilitation in China[J].Burns Trauma,2015,3(1):20.
[18]中华医学会烧伤外科学分会,中国医师协会烧伤科医师分会.烧伤康复治疗指南(2013版)[J].中华烧伤杂志,2013,29(6):497-504.
[19]Simons M,King S,Edgar D.Occupational therapy and physiotherapy for the patient with burns:principles and management guidelines[J].J Burn Care Rehabil,2003,24(5):323-335,322.
[20]Flores O,Tyack Z,Stockton K,et al.Exercise training for improving outcomes post-burns:a systematic review and metaanalysis[J].Clin Rehabil,2018,32(6):734-746.
[21]Serghiou M A,Niszczak J,Parry I,et al.Clinical practice recommendations for positioning of the burn patient[J].Burns,2016,42(2):267-275.
[22]Lin S Y,Chang J K,Chen P C,et al.Hand function measures for burn patients:a literature review[J].Burns,2013,39(1):16-23.
[23]Williams T,Berenz T.Postburn upper extremity occupational therapy[J].Hand Clin,2017,33(2):293-304.
[24]黄珍霞,许乐,李琳,等.手部烧伤患者运动功能临床康复评价方法的研究进展[J].中华护理杂志,2014,49(5):583-587.
[25]Cowan A C,Stegink-Jansen C W.Rehabilitation of hand burn injuries:current updates[J].Injury,2013,44(3):391-396.
[2]谢卫国.从中外比较看我国烧伤防治体系建设[J].中华烧伤杂志,2013,29(2):126-129.
[3]王康安,伍国胜,孙瑜,等.手烧伤瘢痕挛缩的预防和治疗研究进展[J].中华烧伤杂志,2017,33(1):58-61.
[4]Pan B S,Vu A T,Yakuboff K P.Management of the acutely burned hand[J].J Hand Surg Am,2015,40(7):1477-1484,1485.
[5]Dunpath T,Chetty V,van der Reyden D.Acute burns of the hands-physiotherapy perspective[J].Afr Health Sci,2016,16(1):266-275.
[6]吴红娟,朱秀梅,刘晓梅,等.简易手指蹼训练组合支具对烧伤后手指蹼粘连的效果[J].中国康复理论与实践,2016,22(11):1347-1349.
[7]Williams N,Stiller K,Greenwood J,et al.Physical and quality of life outcomes of patients with isolated hand burns-a prospective audit[J].J Burn Care Res,2012,33(2):188.
[8]Richard R,Baryza M J,Carr J A,et al.Burn rehabilitation and research:proceedings of a consensus summit[J].J Burn Care Res,2009,30(4):543-573.
[9]Canadian Institutes of Health Research.Knowledge translation&commercialization[DB/OL].(2017-04-27).http://www.cihrirsc.gc.ca/e/39033.html.
[10]Rycroftmalone J,Bucknall T.Models and Frameworks for Implementing Evidence-Based Practice:Linking Evidence to Action[M].Hoboken:John Wiley&Sons Ltd.,2010.
[11]林凤芝,于书慧,李晶.知识转化的概念及理论框架[J].中国护理管理,2016,16(9):1161-1164.
[12]Graham I D,Logan J,Harrison M B,et al.Lost in knowledge translation:Time for a map?[J].J Contin Educ Health Prof,2006,26(1):13-24.
[13]周英凤,胡雁,顾艳荭,等.知识转化模式在循证实践中的应用[J].护理学杂志,2016,31(2):84-87.
[14]张寅升,李昊旻,段会龙.面向循证医学知识转化的相关概念及研究现状[J].中国全科医学,2016,19(19):2358-2364.
[15]胡雁.循证护理学[M].北京:人民卫生出版社,2012:94-104.
[16]Young A W,Graves C,Kowalske K J,et al.Guideline for Burn Care under Austere Conditions:Special Care Topics[J].JBurn Care Res,2017,38(2):e497-e509.
[17]Chinese Burn Association,Chinese Association of Burn Surgeons.Guidelines for burn rehabilitation in China[J].Burns Trauma,2015,3(1):20.
[18]中华医学会烧伤外科学分会,中国医师协会烧伤科医师分会.烧伤康复治疗指南(2013版)[J].中华烧伤杂志,2013,29(6):497-504.
[19]Simons M,King S,Edgar D.Occupational therapy and physiotherapy for the patient with burns:principles and management guidelines[J].J Burn Care Rehabil,2003,24(5):323-335,322.
[20]Flores O,Tyack Z,Stockton K,et al.Exercise training for improving outcomes post-burns:a systematic review and metaanalysis[J].Clin Rehabil,2018,32(6):734-746.
[21]Serghiou M A,Niszczak J,Parry I,et al.Clinical practice recommendations for positioning of the burn patient[J].Burns,2016,42(2):267-275.
[22]Lin S Y,Chang J K,Chen P C,et al.Hand function measures for burn patients:a literature review[J].Burns,2013,39(1):16-23.
[23]Williams T,Berenz T.Postburn upper extremity occupational therapy[J].Hand Clin,2017,33(2):293-304.
[24]黄珍霞,许乐,李琳,等.手部烧伤患者运动功能临床康复评价方法的研究进展[J].中华护理杂志,2014,49(5):583-587.
[25]Cowan A C,Stegink-Jansen C W.Rehabilitation of hand burn injuries:current updates[J].Injury,2013,44(3):391-396.