脑卒中患者失眠筛查与管理的最佳证据总结

Screening and Management of Post-stroke Insomnia:Best Evidence Summary

目的整合脑卒中患者失眠筛查与管理的最佳证据,为临床实践提供参考。方法系统检索各指南网站及中英文数据库有关脑卒中后失眠预防、筛查和管理的相关证据,检索时限为建库至2023年6月。结果共纳入23篇文献,包括1篇临床决策、4篇指南、2篇证据总结、2篇专家共识和14篇系统评价,围绕预防、筛查、药物管理和非药物管理4个方面总结26条证据。结论该研究总结了脑卒中患者失眠筛查与管理相关证据,为医护人员提供循证依据,建议医护人员根据临床情景应用证据,完善脑卒中患者的睡眠管理。

Objective To summarize the best evidence on screening and management of insomnia in stroke patients and to provide reference for clinical practice.Methods The evidence on prevention,screening and management of post-stroke insomnia was systematically searched from various guideline websites and Chinese and English databases.The retrieval period was from inceptions to June 2023.Results A total of 23 articles were included,including 1 clinical decision,4 guidelines,2 evidence summaries,2 expert consensuses and 14 systematic reviews.26 pieces of evidence were summarized from 4 themes:prevention,screening,pharmaceutical management and non-pharmaceutical management.Conclusions This study summarized the relevant evidence of insomnia screening and management in stroke patients,provided evidence-based evidence for medical staff,and suggested that medical staff should apply the evidence,according to clinical scenarios,to improve the sleep management of stroke patients.