脑卒中一级预防的最佳证据总结

Summary of Best Evidence for the Management of Primary Prevention of Stroke

目的:检索、评价国内外文献资料,总结脑卒中一级预防管理的最佳证据。方法:运用循证护理方法,针对脑卒中一级预防的管理提出问题,系统检索国内外资源数据库,由2名研究者独立对纳入文献进行质量评价,并对符合标准的文献进行证据提取与总结。结果:共纳入12篇文献,包括7篇实践指南、5篇专家共识。总结出高血压病、糖类代谢异常、血脂异常、心房颤动、吸烟饮酒、超重与肥胖、运动、饮食、预防方式与随访等9个类别26条最佳证据。结论:总结了脑卒中危险因素的一级预防内容,为临床护理人员提供全面、详细、规范的健康管理依据。

OBJECTIVE To search and evaluate domestic and foreign literature and summarize the best evidence of primary pre⁃vention and management of stroke.METHODS Evidence-based nursing methods were used to raise questions about the management of primary prevention of stroke,and domestic and foreign resource databases were systematically searched.Two researchers indepen⁃dently evaluated the quality of the included literatures,and the literatures meeting the criteria were extracted and summarized.RESULTS A total of 12 literatures were included,including 7 practice guidelines and 5 expert consensus articles.It summarized 26 best evidence in 9 aspects,including hypertension,abnormal glucose metabolism,dyslipidemia,atrial fibrillation,drinking and smoking,overweight and obesity,exercise,diet,prevention methods and follow-up.CONCLUSION The study summarized the primary preven⁃tion of stroke risk factors,and provided comprehensive,detailed and standardized health management basis for clinical nurses.