Article

OBJECTIVE: To examine the effects of home-based supportive care on improvements
in physical function and depressive symptoms in home-dwelling patients after
stroke. DATA SOURCES:
Seven electronic databases (eg, MEDLINE, PubMed, CINAL,
EMBASE, the Cochrane Central Register of Controlled Trials, ProQuest, and Google
Scholar) and 4 Chinese databases (eg, WANFANG MED ONLINE, Chinese Electronic
Periodical Services, China Academic Journals Full-text Database, and National
Central Library) were fully searched for all relevant articles up to June 25,
2016. STUDY SELECTION: Randomized controlled trials examining the effects of
home-based supportive care on physical function and depressive symptoms in
home-dwelling patients after stroke were included. Finally, 16 articles in
Chinese (n=4) and English (n=12) met the inclusion criteria. DATA EXTRACTION:
Data on patient characteristics, study characteristics, intervention details, and
outcome were extracted. Two reviewers independently extracted data and assessed
methodological quality using the Cochrane risk of bias tool. DATA SYNTHESIS:
Home-based supportive care had a small size effect on physical function (Hedges'
g=.17; 95% confidence interval, .09-.26) and a moderate size effect on depressive
symptoms (Hedges' g=-.44; 95% confidence interval, -.83 to -.05) in home-dwelling
patients after stroke. The moderator analysis revealed that some components of
study participants and intervention programs improved the effects on physical
function and depressive symptoms; however, no significant moderators were further
identified to have superiorly improved physical function and depressive symptoms.
CONCLUSIONS: Regular performance of home-based supportive interventions should be
considered for inclusion as routine care for managing and improving physical
function and depressive symptoms in home-dwelling patients after stroke. The
present findings provide further evidence with which to design appropriate
supportive interventions for home-dwelling stroke survivors.
CI - Copyright (c) 2017 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS