关键词: 脑卒中, 功能预后, 预测, 模型, 范围综述, 护理

Abstract:

Objective To conduct a comprehensive review of functional prognosis prediction models for stroke patients，offering insights for clinical nursing practice and research. Methods A search was conducted across various databases including PubMed，Web of Science，Embase，CINAHL，Cochrane Library，China National Knowledge Infrastructure，Wanfang Database，VIP Database，and China Biomedical Literature Database from their inception to April 1，2024. There were 2 researchers who independently screened the literature，extracted data，and assessed the quality of the studies. Results The review included 19 studies on the development of functional prognosis prediction models for stroke patients，resulting in a total of 57 models. The area under the receiver operating characteristic curve ranged from 0.730 to 0.974. External validation was performed for 3 of the models. Age，gender，NIHSS，and history of stroke emerged as the principal predictors in the functional prognosis prediction models for stroke patients. Conclusion Research on functional prognosis prediction models for stroke patients is still in its early stages，with models demonstrating reasonable predictive power but carrying a high risk of bias. Future studies should standardize model development and validation. The aim should be to create user-friendly models with strong predictive capabilities，thereby providing healthcare professionals with solid foundations for clinical decision-making.

Key words: Stroke, Functional Prognosis, Prediction, Model, Scoping Review, Nursing Care