摘要
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.
作者
王冉
邓悦
靳千胜
刘凡
陈璐
王芳
WANG Ran;DENG Yue;JIN Qiansheng;LIU Fan;CHEN Lu;WANG Fang(Department of Neurosurgery,Nanjing Drum Tower Hospital,Affiliated Hospital of Medical School,Nanjing University,Nanjing 210008,Jiangsu Province,China)
出处
《军事护理》
CSCD
北大核心
2024年第5期26-30,共5页
MILITARY NURSING
基金
2022江苏省科技计划专项资金(重点研发计划社会发展)(BE2022668)。
关键词
脑卒中
失眠
筛查
管理
证据总结
stroke
insomnia
screening
management
summary of evidence