超早期康复护理在急性脑卒中病人康复中应用效果的Meta分析  

Effect of very early rehabilitation in rehabilitation of patients with acute stroke: a Meta-analysis

作　　者：邱航健 张月娟[2] 李振东 张诚诚 王晓倩 石奥利 QIU Hangjian;ZHANG Yuejuan;LI Zhendong;ZHANG Chengcheng;WANG Xiaoqian;SHI Aoli(School of Nursing,Hunan University of Chinese Medicine,Hunan 410208 China)

机构地区：[1]湖南中医药大学护理学院,湖南410208 [2]湖南中医药大学第一附属医院

出　　处：《循证护理》2022年第22期3007-3014,共8页Chinese Evidence-Based Nursing

基　　金：2020年度湖南省中医药科研计划项目,编号:2020004。

摘　　要：目的:系统评价超早期康复护理在急性脑卒中病人中的应用效果。方法:计算机检索PubMed、the Cochrane Library、EMbase、Web of Science、中国知网、万方数据库和中国生物医学文献数据库中有关急性脑卒中病人超早期康复护理的随机对照试验,检索时限为建库至2021年11月15日。由2名研究者独立筛选文献、提取资料并评价纳入研究的偏倚风险后,采用RevMan 5.3软件进行Meta分析。结果:共纳入16项随机对照研究。Meta分析结果显示,与常规康复护理比较,超早期康复护理可以改善病人的日常生活能力[MD=7.95,95%CI(4.40,11.51),P<0.000 1],缩短病人住院时间[MD=-1.95,95%CI(-2.18,-1.71),P<0.000 01],同时还能改善病人的肢体运动能力[MD=8.67,95%CI(6.54,10.81),P<0.000 01],缓解病人焦虑、抑郁情绪[MD=-2.56,95%CI(-4.07,-1.05),P<0.001]。结论:现有证据表明,超早期康复护理对于急性脑卒中病人运动功能和不良情绪有良好的改善作用,但上述结论仍需更多高质量的研究进行验证。Objective:To systematically evaluate the effect of very early rehabilitation on patients with acute cerebral apoplexy.Methods:Randomized controlled trials on very early rehabilitation for patients with acute stroke were searched from PubMed, the Cochrane Library, EMbase, Web of Science, CNKI,WanFang Database, and CBM.The retrieval time was from inception to November 15,2021.Two researchers independently screened literature, extracted data, and evaluated the risk of bias of the included studies.RevMan 5.3 software was used for Meta-analysis.Results:A total of 16 randomized controlled studies were included.Meta-analysis results showed that compared with the routine rehabilitation nursing, very early rehabilitation nursing could improve patients′ daily living ability[MD=7.95,95%CI(4.40,11.51),P<0.000 1],shorten patients′ hospital stay[MD=-1.95,95%CI(-2.18,-1.71),P<0.000 01],improve patients′ physical activity ability[MD=8.67,95%CI(6.54,10.81),P<0.000 01],relieve patients′ anxiety and depression[MD=-2.56,95%CI(-4.07,-1.05),P<0.001].Conclusions:Current evidence shows that very early rehabilitation has a good effect on improving motor function and bad mood.But the above conclusions need to be verified by more high-quality studies.

关 键 词：超早期康复护理 康复训练 脑卒中 META分析 循证护理 

分 类 号：R473.74[医药卫生—护理学]