老年轻度认知障碍患者运动干预最佳证据总结  

Summary of the best evidence for exercise intervention in elderly patients with mild cognitive impairment

作　　者：王海妍 孙超[2] 张洁[1] 杨雪[2] 胡楠楠 李虹[1] 胡慧秀[2] Wang Haiyan;Sun Chao;Zhang Jie;Yang Xue;Hu Nannan;Li Hong;Hu Huixiu(Department of Geriatrics,Beijing Hospital,National Center of Gerontology,Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing 100730,China;Nursing Department,Beijing Hospital,National Center of Gerontology,Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing 100730,China;School of Nursing,Beijing University of Chinese Medicine,Beijing 102488,China)

机构地区：[1]北京医院老年医学科国家老年医学中心中国医学科学院老年医学研究院,北京100730 [2]北京医院护理部国家老年医学中心中国医学科学院老年医学研究院,北京100730 [3]北京中医药大学护理学院,北京102488

出　　处：《中华现代护理杂志》2022年第8期1020-1026,共7页Chinese Journal of Modern Nursing

基　　金：北京协和医学院2020年"中央高校基本科研业务费"项目(3332020073);科技部"主动健康和老龄化科技应对"重点攻关项目(2020YFC2008500);2022-2023北京医院院级科研课题(BJ-2021-214);复旦大学循证护理中心证据转化与临床应用项目(Fudanebn202027)。

摘　　要：目的评价并整合老年轻度认知障碍患者运动干预的最佳证据。方法检索英国国家卫生与临床优化研究所(NICE),美国卫生保健政策研究所(AHRQ)、苏格兰院际间指南网(SIGN)、医脉通、中国知网、万方医学数据库等关于老年轻度认知障碍患者运动干预的所有证据,检索时限为建库至2020年12月31日。由经过循证方法学培训的研究者对文献进行质量评价,并提取老年轻度认知障碍患者运动干预最佳证据。结果共纳入文献23篇,包括指南2篇,专家共识2篇,证据总结1篇,系统评价18篇,总结出15条老年轻度认知障碍患者运动干预的证据,包括管理/训练模式、运动方式、运动强度、运动时长/频次、运动安全性5个方面。结论在证据应用过程中,应充分考虑具体的临床情景,在保证患者安全的前提下,根据老年轻度认知障碍患者的具体情况,制订个体化的运动干预方案,以改善老年患者认知功能。Objective To evaluate and synthesize the best evidence for exercise intervention in elderly patients with mild cognitive impairment.Methods All evidence on exercise intervention for elderly patients with mild cognitive impairment were retrieved from the UK National Institute for Health and Care Excellence(NICE),the US Agency for Healthcare Research and Quality(AHRQ),Scottish Intercollegiate Guidelines Network(SIGN),Medlive,China National Knowledge Infrastructure,WanFang Data and so on.The retrieval time limit was from the establishment of the database to December 31,2020.The quality of the articles were assessed by investigators trained in evidence-based methodology,and the best evidence for exercise intervention in elderly patients with mild cognitive impairment was extracted.Results A total of 23 articles were included,including 2 guidelines,2 expert consensus,1 evidence summary,and 18 systematic reviews.A total of 15 pieces of evidence for exercise intervention in elderly patients with mild cognitive impairment were summarized,involving five aspects,namely,management/training mode,exercise mode,exercise intensity,exercise duration/frequency,and exercise safety.Conclusions In the process of evidence application,specific clinical scenarios should be fully considered,and on the premise of ensuring patient safety,an individualized exercise intervention plan should be formulated according to the specific conditions of elderly patients with mild cognitive impairment to improve cognitive function in elderly patients.

关 键 词：老年人 轻度认知障碍 运动干预 证据总结 循证护理 

分 类 号：R473.74[医药卫生—护理学]