Scoping review of frailty assessment tools for stroke patients
刘蕾 1何春渝 1杨嘉欣 1杜娟 2张海宇 2蒋艳萍 3李美好 3邱琦4
扫码查看
点击上方二维码区域，可以放大扫码查看
作者信息
1. 成都医学院护理学院,四川成都,610083
2. 成都医学院第二附属医院护理部,四川成都,610057
3. 成都医学院第二附属医院神经内科,四川成都,610057
4. 成都医学院图书馆,四川成都,610083
折叠
摘要
目的 对现有脑卒中患者衰弱评估工具进行范围综述,为脑卒中患者衰弱评估工具的选择提供参考.方法 系统化检索PubMed、Web of Science、EMbase、SinoMed、万方、维普、知网数据库,检索时间为建库至2023年5月,筛选符合研究目的和研究问题的文献,并提取每篇文献的基本信息,包括第一作者、发表年份、发表国家、研究设计类型、评估工具名称、量表维度、条目数、评估时间等.结果 本研究共检索出1 729篇文献,经多重筛选后最终纳入22篇文献(共包含8种衰弱评估工具).分析结果显示,8种衰弱评估工具的评估指标、评估时间和评估方法等各不相同,且各有优缺点,其中衰弱指数是最常用的脑卒中患者衰弱评估工具.选择有效的衰弱评估工具对脑卒中患者进行衰弱筛查,对加强卒中前风险分层和改善卒中后结局至关重要.结论 不同衰弱评估工具之间差异较大,且现有评估工具在衡量脑卒中患者衰弱方面均存在局限性,需结合临床医生的经验和判断进行综合评估.未来的研究需进一步深入探寻和开发新的衰弱评估工具,以更好地指导脑卒中患者的康复治疗和管理.
Abstract
Objective To provide a reference for the selection of frailty assessment tools for stroke patients by conducting a literature review of existing frailty assessment tools for stroke patients.Methods Systematic searches were conducted in PubMed,Web of Science,EMbase,SinoMed,Wanfang,VIP,and China National Knowledge Infrastructure(CNKI)databases from their inception to May 2023.The literature that met the research purpose and question were screened,and the basic in-formation of each article,including the first author,publication year,country of publication,type of research design,name of the assessment tool,dimensions of scale,the number of items,and assess-ment time,was extracted.Results A total of 1,729 articles were retrieved in this study.After multi-ple screenings,22 articles(including 8 frailty assessment tools)were ultimately included.The analy-sis results showed that the evaluation indicators,evaluation time,and evaluation methods of the 8 frail-ty assessment tools were different and had their own advantages and disadvantages.Among them,the frailty index was the most commonly used frailty assessment tool for stroke patients.The selection of ef-fective frailty assessment tools for stroke patients is essential for strengthening prestroke risk stratifica-tion and improving poststroke outcomes.Conclusion There are significant differences among different frailty assessment tools,and existing assessment tools have limitations in measuring frailty in stroke pa-tients.Comprehensive assessments should be conducted in combination with clinicians'experience and judgment.New frailty assessment tools are needed in future research to better guide the rehabilitation treatment and management of stroke patients.
关键词
衰弱/卒中/评估工具/范围综述/老年人/衰弱指数
Key words
frailty/stroke/assessment tool/literature review/the elderly/frailty index
维普
万方数据