脑卒中患者运动康复依从性管理的证据总结

Evidence summary for the management of compliance with exercise rehabilitation in stroke patients

目的:全面检索、评价并汇总脑卒中患者运动康复依从性管理的证据,为医护人员提高脑卒中患者运动康复依从性提供参考。方法:系统检索国内外数据库中脑卒中患者运动康复依从性管理的相关文献,检索时限为建库至2022年8月。由研究者独立对文献质量进行评价,提取并整合形成证据。结果:共纳入13篇文献,包括指南6篇、专家共识1篇、推荐实践2篇、证据总结1篇、系统评价2篇和随机对照试验1篇。从总体方针、运动计划、健康教育、自我管理及反馈监督5个方面共汇总了25条证据。结论:医护人员应结合实际情况及患者意愿,将证据转化为脑卒中患者运动康复依从性管理方案,提高患者对脑卒中康复的依从性、完成率、参与度,最终改善其临床症状及预后,促进患者康复。

Objective:To retrieve,evaluate and integrate relevant evidence on the management of compliance with exercise rehabilitation in stroke patients,so as to provide references for improving exercise rehabilitation compliance of stroke patients.Methods:The relevant literature on the management of exercise rehabilitation compliance of stroke patients in domestic and foreign databases was systematically searched,and the time for the retrieval was from inception of databases until August 2022.The researcher independently evaluated the quality of literature,and extracted and integrated the best evidence.Results:A total of 13 studies were included,including 6 guidelines,1 expert consensus,2 practice recommendations,1 evidence summary,2 systematic reviews and 1 original research with randomized controlled trial design.A total of 25 pieces from 5 aspects of evidence were summarized,including the general policy,exercise plan,health education,self-management and feedback monitoring.Conclusion:Medical staff should translate the evidence into the adherence management program of stroke patients with exercise rehabilitation in accordance with application practice and patients'willingness,to improve the compliance,completion rate and participation of stroke rehabilitation,and finally improve the clinical symptoms and prognosis of patients,and promote the best rehabilitation.