Summary of the best evidence for the management of sedentary behaviour in adult stroke patients
Objective To retrieve,screen,and summarize the best evidence on the management of sedentary be-haviour(SB)in adult stroke patients,and to provide an evidence-based basis for clinical nursing practice.Methods Based on the"6S"pyramid evidence resource model,high-level evidence on the management of SB in adult stroke pa-tients was systematically searched and screened in Chinese and English databases at home and abroad,including clin-ical decision-making,recommended practices,guidelines,evidence summaries,expert consensus,systematic re-views,and randomized controlled trials.The search time limit was from the establishment of the database to Decem-ber 30,2022.The quality of literature was independently assessed and the extracted and integrated evidence was gra-ded.Results A total of 15 papers were included,including 1 clinical decision,4 guidelines,1 recommended practice,2 expert consensuses,4 systematic reviews,and 3 randomized controlled trials,and 22 pieces of evidence were sum-marized from 7 dimensions:goal setting,multidisciplinary teamwork,timing of intervention,SB monitoring,SB prompts,exercise and movement,health education,and follow-up.Conclusion The evidence summary of SB man-agement in stroke patients is systematic and perfect,which is expected to provide an evidence-based basis for the de-velopment of a scientific and standardized SB management program for stroke patients,which is conducive to the im-provement of patient prognosis.