认知训练在轻度认知功能障碍患者中应用的最佳证据总结

Summary of best evidence on application of cognitive training in patients with mild cognitive impairment

目的系统检索、评价和总结认知训练在轻度认知功能障碍患者中应用的最佳证据,为制订适合的认知训练方案提供参考。方法检索各指南网、认知障碍相关学会网站和中英文数据库中的指南、证据总结、最佳实践、专家共识和系统综述,检索时间为2015年1月—2022年3月15日。由2名研究者独立进行文献质量评价和资料提取,如遇分歧,由2人讨论或由第3位研究者决定。结果共纳入文献19篇,包含1篇指南、2篇专家共识、1篇最佳实践、15篇系统综述,总结了认知训练评估、目标、实施方法、评价、效果5个方面14条最佳证据。结论本研究总结了认知训练在轻度认知障碍患者中应用的最佳证据总结,以期为轻度认知障碍患者的临床干预和管理提供参考。

Objective To systematically retrieve,evaluate and summarize the best evidence of the application of cognitive training in patients with mild cognitive impairment,so as to provide reference for the development of appropriate cognitive training programs.Methods The guidelines,evidence summaries,best practices,expert consensus and systematic reviews were retrieved from the guidelines network,the websites of cognitive impairment related societies and Chinese and English databases from January 2015 to March 15,2022.Two researchers independently evaluated the literature quality and extracted data.In case of disagreement,two researchers discussed or the third researcher decided.Results A total of 19 literatures were included,including 1 guideline,2 expert consensus,1 best practice and 15 systematic reviews,summarizing 15 pieces of best evidence from five aspects of cognitive training evaluation,goal,implementation method,evaluation and effect.Conclusions This study summarizes the best evidence on the application of cognitive training in patients with mild cognitive impairment,in order to provide a reference for clinical intervention and management of patients with mild cognitive impairment.