卒中后疲劳评估工具的范围综述

doi:10.3761/j.issn.0254-1769.2023.01.006

摘要/Abstract

摘要：

目的全面、系统地收集国内外用于评估卒中后疲劳的工具，总结并分析其开发过程、特点及应用情况，为临床医护人员选择筛查卒中后疲劳的适宜评估工具提供参考。方法系统检索7个中英文数据库，检索时限为建库至2022年3月13日。提取卒中后疲劳评估工具相关内容进行系统分析，并采用范围综述的方法对检索结果进行规范化报告。结果纳入48篇符合标准的文献，36篇关于评估工具的开发与验证，12篇关于评估工具的本土化及应用，共涉及20个卒中后疲劳评估工具。结论建议使用多维度疲劳评估工具评估卒中后疲劳，未来应进一步验证现有卒中后疲劳评估工具的信效度，完善评估工具，并继续引入或研制本土化、全面、有效的卒中后疲劳特异性评估工具。

关键词: 卒中, 卒中后疲劳, 评估工具, 范围综述, 护理

Abstract:

Objective To collect assessment tools for post-stroke fatigue at home and abroad，to summarize and analyze their development process，characteristics and applications，so as to provide references for clinical medical staff to select the suitable assessment tools for post-stroke fatigue screening. Methods Focusing on assessment tools for post-stroke fatigue，we systematically searched 7 Chinese and English databases from the inception to March 13，2022. Relevant information was extracted for systematic analysis，and results were standardizedly reported using a scope review method. Results 48 studies were involved in the final review，including 36 studies on the development and validation of assessment tools，and 12 studies on the localization and application of assessment tools，involving 20 post-stroke fatigue assessment tools. Conclusion It is recommended to use the multi-dimensional fatigue assessment tools for post-stroke fatigue. In the future，the reliability and validity of existing post-stroke fatigue assessment tools still need to be further verified and improved，and comprehensive and effective post-stroke fatigue specific assessment tools should be continuously introduced or developed.

Key words: Stroke, Post-stroke Fatigue, Assessment Tools, Scoping Review, Nursing Care

臧爽, 崔赢, 倪翠萍, 穆佳欣, 张露, 宋冰, 刘宇. 卒中后疲劳评估工具的范围综述[J]. 中华护理杂志, 2023, 58(1): 46-54.

ZANG Shuang, CUI Ying, NI Cuiping, MU Jiaxin, ZHANG Lu, SONG Bing, LIU Yu. A scoping review of assessment tools for post-stroke fatigue[J]. Chinese Journal of Nursing, 2023, 58(1): 46-54.

图/表 3

图1 文献筛选流程图

Figure 1 Flow chart of literature selection

表1 卒中后疲劳评估工具的基本特征（n=20）

Table 1 Characteristics of PSF assessment tools（n=20）

表2 卒中后疲劳评估工具各国本土化及信效度检验（n=6）

Table 2 Localization，reliability and validity testing of PSF assessment tools（n=6）

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