脑卒中后抑郁管理的最佳证据总结  

Best Evidence Summary for Management of Post-stroke Depression

作　　者：谭静 韩江全 胡春婷[3] 廉民学[4] 罗红波 李妍 刘宁 TAN Jing;HAN Jiang-quan;HU Chun-ting;LIAN Min-xue;LUO Hong-bo;LI Yan;LIU Ning(Zhuhai Campus,Zunyi Medical University,Zhuhai 519041,China;Dept.of Neurology,the Fifth Affiliated(Zhuhai)Hospital of Zunyi Medical University,Zhuhai 519100,China;The Second Affiliated Hospital of Xi’an Jiaotong University,Xi’an 710004,China;The First Affiliated Hospital of Xi’an Jiaotong University,Xi’an 710061,China;Nightingale School of Nursing,King’s College,London WC2R2LS,England)

机构地区：[1]遵义医科大学珠海校区,广东珠海519041 [2]遵义医科大学第五附属(珠海)医院神经内科,广东珠海519100 [3]西安交通大学第二附属医院神经内科,陕西西安710004 [4]西安交通大学第一附属医院神经外科,陕西西安710061 [5]英国国王学院南丁格尔护理学院,英国伦敦WC2R2LS

出　　处：《护理学报》2020年第23期42-48,共7页Journal of Nursing（China）

基　　金：贵州省科技计划项目([2017]1223,1226);遵义市“15851人才精英工程”科研项目(黔科合基础[2017]1223);遵义医学院博士启动基金(F-750,NO.24);遵义医学院硕士启动基金(NO.24);遵义医科大学珠海校区大学生创新创业训练计划项目(ZHXT 20170002,ZHCX 201822,ZHCX 201902)。

摘　　要：目的检索并获取脑卒中后抑郁管理的最佳证据,为医护人员、管理者及患者进行脑卒中后抑郁管理提供参考。方法使用计算机检索英国国家临床医学研究所指南库、UpToDate、Cochrane Library、Clinicalkey、JBI循证卫生保健中心数据库、中国知网、BMJ、最佳实践信息册、PubMed、美国指南网、荷兰医学文摘数据库、万方数据库、Sciencedirect、中国指南网及中国生物医学文献数据库建库至2019年7月涉及到脑卒中后抑郁管理的指南、专家共识、证据总结及系统评价,纳入的相关文献由2名研究者进行质量评价和证据提取。结果共纳入17篇文献,包括3篇指南、2篇专家共识、6篇系统评价、6篇证据总结。最终从5个方面总结出24条最佳证据。结论关于脑卒中后抑郁管理的最佳证据可以为护理工作人员提供循证证据。通过应用最佳证据,以更系统、科学的方法管理脑卒中后抑郁,提高护理质量。Objective To select and obtain the best evidence for the management of post-stroke depression, and to provide reference for medical staffs to manage post-stroke depression. Methods We conducted research in the National Institute of Clinical Excellence(NICE),UpToDate, Cochrane Library, Clinicalkey, Joanna Briggs Institute(JBI), China National Knowledge Infrastructure(CNKI), BMJ, Best Practice Information Sheet(BPIS), PubMed, National Guideline Clearinghouse(NGC), Embase, Wanfang database,Science direct, Chinese Guideline Clearinghouse and China Biology Medicine(CBM) Construction from the inception until July 2019 involving guidelines, expert consensus, evidence summaries and systematic reviews of post-stroke depression management. The quality evaluation and evidence extraction of the included literatures were conducted by two researchers. Results A total of 17 articles were selected, including 3 guidelines, 2 expert consensus,6 systematic evaluations and 6 evidence summaries. Finally, 24 pieces of best evidence were summarized from 5 aspects. Conclusion This study summarizes the best evidence for the management of post-stroke depression and provided evidence-based evidence for nursing staff. The best evidence is helpful to manage post-stroke depression and improve the quality of care in a systematic and scientific way.

关 键 词：脑卒中 抑郁 脑卒中后抑郁 循证护理 

分 类 号：R473.73[医药卫生—护理学]