脑卒中后失眠护理的最佳证据总结

Summary of the best evidence for nursing of post-stroke insomnia nursing

目的总结脑卒中后失眠护理的最佳证据,为临床实践提供依据。方法根据"6S"证据等级模型,系统检索UpToDate、苏格兰院际指南网、美国国立指南网、JBI循证卫生保健中心数据库、BMJ最佳临床实践、英国国家卫生与临床优化研究所指南网、中国医脉通指南网、加拿大安大略注册护士网、The Cochrane Library、PubMed、Web of Science、Medline、Embase、CINAHL、中国知网、万方、维普和中国生物医学文献数据库及相关协会网站中关于脑卒中后失眠护理的证据,包括指南、系统评价、专家共识等。检索时限为建库至2022年2月19日。采用相应的文献评价标准对文献进行质量评价,形成最佳证据。结果共纳入24篇文献,其中指南6篇、系统评价16篇、专家共识2篇。最佳证据包括睡眠质量的评估、脑卒中后失眠诊断、制订个体化计划、非药物干预、中医护理干预5个维度,共总结出26条最佳证据。结论对脑卒中后失眠护理的最佳证据进行总结,为护理人员进行临床实践提供了科学、有效的循证依据,建议临床应用时,结合患者具体情况针对性选择证据。

Objective To summarize the best evidence of post-stroke insomnia nursing and provide basis for clinical practice.Methods According to the"6S"pyramid model,the system searched UpToDate,Scottish Interhospital Guidelines Network,US National Guidelines Network,JBI Evidence Based Health Care Center Database,BMJ Best Clinical Practice,NICE Guidelines Network,China Medical Pulse Communication Guidelines Network,Ontario Registered Nurses Network,The Cochrane Library,PubMed,Web of Science,Medline,Embase,CINAHL,CNKI,Wanfang,VIP and Chinese Biomedical Literature Database and related association websites.Evidence on the post-stroke insomnia nursing,including guidelines,systematic evaluations,expert consensus,etc.The retrieval period was from the database construction to February 19,2022.The quality of the literature was evaluated by the corresponding articles evaluation criteria.Results A total of 24 articles were selected,including 6 guidelines,16 systematic reviews and 2 expert consensus.Totally 26 pieces of the best evidence on 5 aspects including the evaluation of sleep quality,the diagnosis of post-stroke insomnia,the development of individual plan,non-pharmaceutical intervention,and traditional Chinese medicine nursing intervention were finally summarized.Conclusions The summarized evidence of post-stroke insomnia nursing,for can be used to provides scientific and effective evidence-based basis for nursing staff to carry out clinical practice.It is suggested that the specific evidence should be selected according to the specific situation of patients in clinical application.