| 徐妍,黄馨睿,严铮,等.脑卒中患者中西医结合居家运动康复的最佳证据总结[J].浙江中医药大学学报,2024,48(11):1440-1449. |
| 脑卒中患者中西医结合居家运动康复的最佳证据总结 |
| Evidence Summary of Integrated Traditional Chinese and Western Medicine Home Exercise Rehabilitation for Stroke Patients |
| DOI：10.16466/j.issn1005-5509.2024.11.018 |
| 中文关键词: 脑卒中 中西医结合 中医护理技术 居家 运动障碍 康复护理 证据总结 循证护理 |
| 英文关键词: stroke integrated traditional Chinese and western medicine traditional Chinese medicine nursing technology home-based movement disorders rehabilitation nursing evidence summary evidence-based nursing |
| 基金项目:2023年度浙江省“尖兵”“领雁”研发攻关计划项目(2023C03165)；2022浙江中药大学重点研究项目(2022FSYYZZ06)；浙江省中医药科技计划项目(2024ZL393) |
|
| 摘要点击次数: 56 |
| 全文下载次数: 51 |
| 中文摘要: |
| [目的] 检索、评价并整合脑卒中患者中西医结合居家运动康复的最佳证据，为临床护理实践提供循证依据。[方法] 根据“6S”证据模型，系统检索计算机决策支持系统、指南网站、专业学会网站和数据库中关于脑卒中患者中西医结合居家运动康复的相关文献，包括临床决策、指南、证据总结、系统评价、专家共识、标准，检索时限为2013年1月1日至2023年12月31日，对纳入文献进行方法学质量评价，并对证据进行提取与汇总。[结果] 最终纳入文献24篇，其中指南8篇、证据总结1篇、系统评价12篇、专家共识2篇、标准1篇，汇总形成30条最佳证据，涉及组织管理、运动前评估、运动方案、中医护理、运动监测、注意事项6个方面，其中56.67%为1类证据。[结论] 构建系统完善的管理体系，以患者为中心，基于证据权衡不同康复训练方法的收益与风险，制定科学合理的运动康复方案，是改善脑卒中患者居家运动康复效果的关键。 |
| 英文摘要: |
| [Objective] To retrieve， evaluate and integrate the best evidence of home-based exercise rehabilitation of stroke patients with integrated traditional Chinese and western medicine， and provide evidence-based basis for clinical nursing practice. [Methods] According to the “6S” evidence model， the relevant literatures on home-based exercise rehabilitation of integrated traditional Chinese and western medicine for stroke patients in computer decision support system， guideline website， professional society website and database were systematically searched， including clinical decision-making， guidelines， evidence summary， systematic evaluation， expert consensus and standards. The search time limit was from January 1，2013 to December 31，2023. The methodological quality of the included literatures was evaluated， and the evidence was extracted and summarized. [Results] A total of 24 articles were finally included， including 8 ?guidelines，1 evidence summary，12 systematic reviews，2 expert consensuses and 1 standard. Thirty best evidences were summarized， involving 6 aspects of organization management， pre-exercise evaluation， exercise program， traditional Chinese medicine nursing， exercise monitoring， and precautions， of which 56.67% were type 1 evidence. [Conclusion] Constructing a systematic and perfect management system， taking patients as the center， weighing the benefits and risks of different rehabilitation training methods based on evidence， and formulating a scientific and reasonable exercise rehabilitation program are the key to improving the effect of home-based exercise rehabilitation for stroke patients. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |