卒中后疲劳患者筛查与管理的最佳证据总结

Summary of the best evidence for screening and management of patients with post-stroke fatigue

目的检索、评价并总结卒中后疲劳患者筛查管理的最佳证据,为临床医护人员早期识别管理提供依据。方法按照"6S"金字塔模型,系统检索UpToDate、BMJ最佳临床实践、国际指南协作网、新西兰指南协作组、加拿大安大略注册护士协会网站、苏格兰院际间指南网、澳大利亚乔安娜布里格斯研究所循证卫生保健中心数据库、医脉通、美国卒中协会、加拿大心脏与卒中基金会、澳洲国家卒中基金会、英国卒中协会、国家卒中中心、Cochrane Library、PubMed、Embase、CINAHL、中国知网、万方数据库、维普期刊数据库、中国生物医学文献数据库中关于卒中后疲劳患者筛查与管理的相关证据。检索时限为2013年1月至2023年5月。研究者对文献进行筛选、质量评价及证据汇总。结果共纳入15篇文献,其中临床决策1篇、指南3篇、专家共识3篇、证据总结2篇、系统评价5篇、随机对照试验1篇。从筛查评估、危险因素、心理社会干预、活动与休息、健康教育、补充疗法、随访7个方面汇总了22条证据。结论该研究总结了卒中后疲劳患者筛查与管理的最佳证据,以更加科学系统的方法管理卒中后疲劳,为改善卒中患者长期生命质量提供参考。

Objective To search,screen and summarize the best evidence of screening and management of patients with post-stroke fatigue,and to provide basis for early identification of clinical staff.Methods According to the"6S"pyramid model,the system searches for relevant evidence on post stroke fatigue screening and management from UpToDate,BMJ Best Practice,International Guidelines Collaboration Network,New Zealand Guidelines Collaboration Group,Ontario Registered Nurses Association website,Scottish Interhospital Guidelines Network,Joanna Briggs Institute Evidence Based Health Care Center database,and Yimaitong,National Stroke Foundation,Stroke Association,National Stroke Center,Cochrane Library,PubMed,Embase,CINAHL,CNKI,WanFang Datebase,VIP and CBM from January 2013 to March 2023 regarding screening and management of post stroke fatigue patients.Researchers screen literature,evaluate quality,and summarize evidence.Results Fifteen articles were selected,including 1 clinical decision,3 guidelines,3 expert consensus,2 evidence summary,5 systematic review and 1 randomized controlled trial.A total of 22 best evidence items were summarized from seven aspects of screening assessment,risk factors,psychosocial intervention,activity and rest,health education,complementary therapy,and follow-up.Conclusions The study summarized the best evidence for the screening and management of patients with post-stroke fatigue,so as to provide a more scientific and systematic approach to the management of post-stroke fatigue and provide a reference for improving the long-term quality of life of stroke patients.