摘要
目的:检索、评价并整合脑卒中后抑郁状态识别与预防的相关证据。方法:计算机系统检索BMJ最佳临床实践、UpToDate、美国国立指南文库、JBI数据库、the Cochrane Library等网站中关于脑卒中后抑郁状态识别与预防的证据总结、推荐实践、临床实践指南、专家共识、系统评价，进行方法学质量评价后，根据主题对证据进行提取与汇总。结果:根据纳入标准筛选出文献12篇，包括证据总结5篇、临床实践指南3篇、专家共识1篇、系统评价3篇。通过阅读、提取和归类，从筛查与评估、管理、非药物治疗和药物治疗4个方面共总结了26条最佳证据。结论:总结了有关卒中后抑郁状态识别与预防的最佳证据，形成了具体的推荐建议，可为医护人员提供循证依据。
Abstract
Objective:To retrieve, evaluate and summarize the available evidence of identifying and preventing patients with post-stroke depression.Methods:The researchers systematically retrieved BMJ Best Practice, UpToDate, National Guideline Clearinghouse, Joanna Briggs Institute Library, the Cochrane Library, and other databases to collect relevant evidence summaries, best practice recommendations, clinical practice guidelines, expert consensus, and systematic reviews. Available evidence was extracted and summarized based on the themes after the methodological quality assessments were completed.Results:A total of 12 articles were retrieved, including 5 evidence summaries, 3 guidelines, 1 expert consensus, and 3 systematic reviews. Twenty-six pieces of evidences were summarized into the following 4 categories: screening and assessment, management, non-pharmacological therapy, and pharmacotherapy.Conclusion:This study summarized the best evidence of identifying and preventing patients with post-stroke depression, and generated recommendations，which can provide evidence for healthcare professionals.
基金项目
上海市地方高水平大学建设循证护理创新研究(FNDGJ201915)
万方数据