Strategies to improve the quality of life of persons post-stroke: protocol of a systematic review

被引：8

作者：

Munce, Sarah E. P. ^{[1
]}

Perrier, Laure ^{[2
]}

Shin, Saeha ^{[3
]}

Adhihetty, Chamila ^{[4
]}

Pitzul, Kristen ^{[4
]}

Nelson, Michelle L. A. ^{[4
,5
,6
]}

Bayley, Mark T. ^{[1
,4
]}

机构：

[1] Univ Toronto, Univ Hlth Network, Toronto Rehabil Inst, Brain & Spinal Cord Rehabil Program, 550 Univ Ave, Toronto, ON M5G 2A2, Canada

[2] Univ Toronto, Gerstein Sci Informat Ctr, 9 Kings Coll Circle, Toronto, ON M5S 1A5, Canada

[3] Univ Toronto, Dalla Lana Sch Publ Hlth, 27 Kings Coll Circle, Toronto, ON M5S 1A1, Canada

[4] Univ Toronto, Inst Hlth Policy Management & Evaluat, 4th Floor,155 Coll St, Toronto, ON M5T 3M6, Canada

[5] Lunenfeld Tanenbaum Res Inst, 1 Bridgepoint Dr, Toronto, ON M4M 2B5, Canada

[6] Sinai Hlth Syst, 1 Bridgepoint Dr, Toronto, ON M4M 2B5, Canada

来源：

SYSTEMATIC REVIEWS | 2017年 / 6卷

基金：

加拿大健康研究院;

关键词：

Stroke; Quality improvement; Knowledge translation; Quality of life; Systematic review; Protocol; STROKE; DISABILITY; RECOVERY; HANDICAP; ANXIETY;

D O I：

10.1186/s13643-017-0579-3

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: While many outcomes post-stroke (e.g., depression) have been previously investigated, there is no complete data on the impact of a variety of quality improvement strategies on the quality of life and physical and psychological well-being of individuals post-stroke. The current paper outlines a systematic review protocol on the impact of quality improvement strategies on quality of life as well as physical and psychological well-being of individuals with stroke. Methods: MEDLINE, CINAHL, EMBASE, and PsycINFO databases will be searched. Two independent reviewers will conduct all levels of screening, data abstraction, and quality appraisal. Only randomized controlled trials that report on the impact of quality improvement strategies on quality of life outcomes in people with stroke will be included. The secondary outcomes will be physical and psychological well-being. Quality improvement strategies include audit and feedback, case management, team changes, electronic patient registries, clinician education, clinical reminders, facilitated relay of clinical information to clinicians, patient education, (promotion of) self-management, patient reminder systems, and continuous quality improvement. Studies published since 2000 will be included to increase the relevancy of findings. Results will be grouped according to the target group of the varying quality improvement strategies (i.e., health system, health care professionals, or patients) and/or by any other noteworthy grouping variables, such as etiology of stroke or by sex. Discussion: This systematic review will identify those quality improvement strategies aimed at the health system, health care professionals, and patients that impact the quality of life of individuals with stroke. Improving awareness and utilization of such strategies may enhance uptake of stroke best practices and reduce inappropriate health care utilization costs. Systematic review registration: PROSPERO, CRD42017064141

引用

页数：4