Article

OBJECTIVE: To present an evidence-based overview of the effectiveness of medical
rehabilitation intervention in natural disaster survivors and outcomes that are
affected. DATA SOURCES: A literature search was conducted using medical and
health science electronic databases (PubMed, MEDLINE, Embase, Cumulative Index to
Nursing and Allied Health Literature, Cochrane Library, PsycINFO) up to September
2014. STUDY SELECTION:
Two independent reviewers selected studies reporting
outcomes for natural disaster survivors after medical rehabilitation that
addressed functional restoration and participation. DATA EXTRACTION: Two
reviewers independently extracted data and assessed the methodologic quality of
the studies using the Critical Appraisal Skills Program's appraisal tools. DATA SYNTHESIS: A meta-analysis was not possible because of heterogeneity among
included trials; therefore, a narrative analysis was performed for best evidence
synthesis. Ten studies (2 randomized controlled trials, 8 observational studies)
investigated a variety of medical rehabilitation interventions for natural
disaster survivors to evaluate best evidence to date. The interventions ranged
from comprehensive multidisciplinary rehabilitation to community educational
programs. Studies scored low on quality assessment because of methodologic
limitations. The findings suggest some evidence for the effectiveness of
inpatient rehabilitation in reducing disability and improving participation and
quality of life and for community-based rehabilitation for participation. There
were no data available for associated costs. CONCLUSIONS:
The findings highlight
the need to incorporate medical rehabilitation into response planning and
disaster management for future natural catastrophes. Access to rehabilitation and
investment in sustainable infrastructure and education are crucial. More
methodologically robust studies are needed to build evidence for rehabilitation
programs, cost-effectiveness, and outcome measurement in such settings.
CI - Copyright (c) 2015 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS