脑卒中偏瘫患者平衡功能管理的最佳证据总结

Summary of best evidence for balance function management in stroke patients with hemiplegia

目的检索、评价并整合脑卒中偏瘫患者平衡功能管理的相关证据。方法系统检索BMJ Best Practice、UpToDate、英国国家卫与临床优化研究所、国际指南协作网、苏格兰院际指南网、澳大利亚乔安娜布里格斯研究所(JBI)循证卫生保健中心、Embase、Cochrane library、中国知网、万方数据库、维普网、中国生物医学文献数据库、PubMed、Web of Science、医脉通等网站或者数据平台关于脑卒中偏瘫患者平衡功能管理的相关指南、最佳实践、证据总结、系统评价、Meta分析,检索时限为2014年3月—2024年3月。由2名经过循证培训的研究者对文献进行方法学质量评价后,对相关证据进行提取、汇总。结果根据纳入及排除标准,共纳入8篇指南、7篇系统评价,分别从平衡功能训练的重要性、组织管理、评估工具、评估时机、评估内容、评估频率、平衡运动方案、运动时间和健康宣教9个方面获取29条最佳证据。结论本研究总结了脑卒中偏瘫患者平衡功能管理的最佳证据,为医务人员的临床实践提供了准确的循证证据支撑,建议医护人员根据临床情景适当应用,完善脑卒中偏瘫患者平衡功能管理相关措施。

ObjectiveTo retrieve,evaluate,and integrate evidence related to balance function management in stroke patients with hemiplegia.MethodsA systematic search was conducted on BMJ Best Practice,UpToDate,National Institute for Health and Care Excellence,Guidelines International Network,Scottish Intercollegiate Guidelines Network,Australia Joanna Briggs Institute Evidence-Based Practice Center,Embase,Cochrane Library,China National Knowledge Infrastructure,Wanfang Data,VIP,China Biology Medicine disc,PubMed,Web of Science,Medlive,and other websites or data platforms for relevant guidelines,best practices,evidence summaries,systematic reviews,and Meta-analyses on balance function management in stroke patients with hemiplegia,with a retrieval period from March 2014 to March 2024.Two researchers trained in evidence-based practices evaluated the methodological quality of the literature and extracted and summarized the relevant evidence.ResultsBased on the inclusion and exclusion criteria,a total of eight guidelines and seven systematic reviews were included,yielding 29 pieces of best evidence across nine aspects:the importance of balance function training,organizational management,assessment tools,assessment timing,assessment content,assessment frequency,balance exercise programs,exercise duration,and health education.ConclusionsThis study summarizes the best evidence for balance function management in stroke patients with hemiplegia,providing accurate evidence-based support for clinical practice among medical professionals.It is recommended that healthcare providers appropriately apply this evidence based on clinical scenarios to improve measures related to balance function management in stroke patients with hemiplegia.