目的 总结脑卒中患者认知-运动双重任务训练的最佳证据,为制定适合我国的脑卒中患者认知-运动双重任务训练提供循证依据.方法 按照"6S"循证资源金字塔证据模型,计算机检索BMJ Best Practice、UpToDate、国际指南协作网、新西兰指南工作组网站、英国国家卫生与临床优化研究所网站、苏格兰院际指南网、澳大利亚国家卫生医学研究理事会网站、美国国立指南网、加拿大安大略省注册护士协会网站、医脉通、梅斯医学网站、美国心脏协会网站、中国卒中学会网站、美国卒中协会网站、Web of Science、PubMed、OVID、Cochrane Library、中国知网、万方数据知识服务平台、维普网、中国生物医学文献数据库中关于脑卒中患者认知-运动双重任务训练的文献,检索时限从建库至2024年10月.进行文献筛选及内容提取、文献质量评价、证据汇总与分级.结果 共纳入文献12篇,包括7篇指南,5篇系统评价.纳入的7篇指南中,3篇推荐级别为A级,4篇推荐级别为B级.纳入的5篇系统评价中,1篇文献中的条目7被评为"不清楚",其余均被评为"是".最终形成了脑卒中患者认知-运动双重任务训练的最佳证据,其包括构建多学科团队、入院后评估、干预时机、干预频率和时间、认知训练内容、运动训练内容、注意事项、效果评价、健康教育和出院后康复10个方面共51条证据.结论 本研究总结了脑卒中患者认知-运动双重任务训练的最佳证据,其包括构建多学科团队、入院后评估、干预时机、干预频率和时间、认知训练内容、运动训练内容、注意事项、效果评价、健康教育和出院后康复10个方面共51条证据,具有一定可行性与科学性,可为临床医护人员实施认知-运动双重任务训练提供循证证据.
Best Evidence Summary of Cognitive-Motor Dual-Task Training for Stroke Patients
Objective To summarize the best evidence of cognitive-motor dual-task training for stroke patients,and provide evidence-based support for developing cognitive-motor dual-task training for stroke patients in China.Methods According to the"6S"evidence-based resource pyramid model,the literature on cognitive-motor dual-task training for stroke patients was retrieved from BMJ Best Practice,UpToDate,Guideline International Network,New Zealand Guidelines Group website,National Institute for Health and Clinical Excellence website,Scottish Intercollegiate Guidelines Network,Australian Government National Health and Medical Research Council website,National Guideline Clearinghouse,Registered Nurses'Association of Ontario website,Medlive,Metz Medical website,American Heart Association website,Chinese Stroke Association website,American Stroke Association website,Web of Science,PubMed,OVID,Cochrane Library,CNKI,Wanfang Data,VIP,China Biology Medicine Literature Database.The search period was from inception to October 2024.The selection of the literature,content extraction,evaluation of the quality of the literature,evidence summary and grading were conducted.Results A total of 12 articles were included,including 7 guidelines,5 systematic reviews.Among the 7 guidelines,3 were grade A recommendations and 4 were grade B recommendations.Among the 5 systematic reviews,item 7 in 1 article was evaluated as"not applicable",and the other entries were evaluated as"yes".Finally the best evidence of cognitive-motor dual-task training for stroke patients was formed,it included 51 items in 10 aspects of building multidisciplinary teams,admission assessment,intervention timing,intervention frequency and duration,cognitive training content,exercise training content,precautionary note,effect evaluation,health education,and discharge rehabilitation.Conclusion This study summarize the best evidence of cognitive-motor dual-task training for stroke patients,it includs 51 items in 10 aspects of building multidisciplinary teams,admission assessment,intervention timing,intervention frequency and duration,cognitive training content,exercise training content,precautionary note,effect evaluation,health education,and discharge rehabilitation.It has specific feasibility and scientificity,and can provide evidence-based support for clinical medical staff to implement cognitive-motor dual-task training.
万方数据
维普
