脑卒中肢体功能障碍患者恢复期中医康复护理的最佳证据总结

doi:10.3761/j.issn.0254-1769.2024.07.007

摘要/Abstract

摘要：

目的检索并整合脑卒中肢体功能障碍患者恢复期中医康复护理的相关证据，为临床实践提供参考。方法系统检索国内外相关指南网站、专业协会网站以及Cochrane Library、PubMed、Embase、中国知网、中国生物医学文献数据库等数据库中关于脑卒中肢体功能障碍中医康复护理相关的指南、临床决策、证据总结、系统评价、专家共识和随机对照试验，检索时限为建库至2023年5月。由2名研究人员独立对文献进行质量评价并对证据推荐级别进行评定。结果共纳入17篇文献，包括7篇指南、4篇系统评价、1篇证据总结及5篇随机对照试验，总结出28条关于脑卒中肢体功能障碍患者中医康复护理的最佳证据，包括评估、中医护理技术、健康教育和注意事项4个方面。结论脑卒中肢体功能障碍患者中医护理技术形式多样，内容丰富，应根据实际情况和患者自身意愿，选择合适的中医护理技术，促进患者肢体功能的康复。

关键词: 脑卒中, 肢体功能, 中医护理学, 循证护理学, 证据总结

Abstract:

Objective To search and integrate relevant evidence of Traditional Chinese Medicine rehabilitation care during recovery of stroke patients with limb dysfunction，and to provide the evidence for clinical practice. Methods We systematically search domestic and foreign guideline websites，professional association websites，and databases such as Cochrane Library，PubMed，Embase，CNKI，CBM for evidence on Chinese medicine rehabilitation care for limb dysfunction following stroke. The search included guidelines，clinical decisions，evidence summaries，systematic reviews，expert consensuses，and randomized controlled trials，with the search timeframe spanning from the inception of the respective databases to May 2023. The literature was evaluated and rated for quality by 2 researchers independently. Results A total of 17 articles，including 7 guidelines，4 systematic reviews，1 evidence summary and 5 randomized controlled trials were included to summarize 28 pieces of evidence on Traditional Chinese Medicine rehabilitation care for stroke patients with limb dysfunction. The evidence can be categorized into 4 areas，including evaluation，Traditional Chinese Medicine nursing technology，health education and precautions. Conclusion Traditional Chinese Medicine nursing technology for stroke patients with limb dysfunction have various forms and rich contents. Appropriate Traditional Chinese Medicine nursing techniques should be selected according to the actual situation and the willingness of patients to promote the rehabilitation of their limb functions.

Key words: Stroke, Limb Function, Traditional Chinese Medicine Nursing, Evidence-Based Nursing, Evidence Summary

黄奕敏, 黄丽君, 翁丹婷, 庄平, 谭益冰. 脑卒中肢体功能障碍患者恢复期中医康复护理的最佳证据总结[J]. 中华护理杂志, 2024, 59(7): 812-819.

HUANG Yimin, HUANG Lijun, WENG Danting, ZHUANG Ping, TAN Yibing. Evidence summary of Traditional Chinese Medicine rehabilitation nursing during recovery in patients with stroke limb dysfunction[J]. Chinese Journal of Nursing, 2024, 59(7): 812-819.

图/表 4

图1 文献筛选流程图

Figure 1 Flow chart of the literature

表1 纳入文献的基本特征（n=17）

Table 1 Characteristics of included literature（n=17）

表2 纳入指南的质量评价结果（n=7）

Table 2 Quality evaluation results of guidelines（n=7）

表3 脑卒中肢体功能障碍患者恢复期中医康复护理的最佳证据

Table 3 Evidence of Traditional Chinese Medicine rehabilitation nursing during recovery in patients with stroke limb dysfunction

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