轻度认知障碍老年患者认知管理的最佳证据总结  

Best evidence summary of cognitive management of mild cognitive impairment in the elderly patients

作　　者：刘晓燕[1] 秦毅[2] 朱小玲[3] 吴娟[3] 赵睿 宋艳[5] 孙驰 张桦[1] 孙敏[1] Liu Xiaoyan;Qin Yi;Zhu Xiaoling;Wu Juan;Zhao Rui;Song Yan;Sun Chi;Zhang Hua;Sun Min(Department of Geriatrics,Affiliated Hospital of Nantong University,Nantong 226001,China;Nursing Department,Affiliated Hospital of Nantong University,Nantong 226001,China;Internal Medicine Department,Affiliated Hospital of Nantong University,Nantong 226001,China;Geriatrics Research Center,Affiliated Hospital of Nantong University,Nantong 226001,China;School of Nursing,Nantong University,Nantong 226001,China)

机构地区：[1]南通大学附属医院老年医学科,南通226001 [2]南通大学附属医院护理部,南通226001 [3]南通大学附属医院临床内科,南通226001 [4]南通大学附属医院老年医学研究中心,南通226001 [5]南通大学护理学院,南通226001

出　　处：《中华现代护理杂志》2022年第36期5027-5035,共9页Chinese Journal of Modern Nursing

基　　金：江苏省社会工作协会医务社会工作团体标准项目(T/JSSG YW009-2021);南通大学附属医院循证项目(Tfh 2105)。

摘　　要：目的检索、评价与总结轻度认知障碍(MCI)老年患者认知管理的最佳证据,为护理干预与照料提供循证依据。方法系统检索UpToDate、英国指南库、美国指南网、中国指南网、澳大利亚JBI循证卫生保健国际合作中心图书馆、加拿大安大略注册护士协会、Ovid-JBI、Wiley、PubMed、万方数据库、中国知网、维普数据库等关于老年患者MCI管理的相关文献,包括临床实践最新指南、系统评价、专家共识、专题证据汇总报告、随机对照试验、类实验研究,检索时限为2012年1月1日—2021年12月31日,由2名老年护理研究者独立进行文献质量评价并提炼最佳证据。结果共纳入14篇文献,包括3篇临床实践指南、3篇专家共识、3篇系统评价、1篇专题证据总结、3篇随机对照试验、1篇类实验研究。根据临床情景进行分析,按照社区-门诊筛查-诊断-综合干预-回归社区的综合管理体系,共形成评估对象和时机、评估内容与筛查工具、疾病诊断与管理、认知训练护理门诊构建、认知训练及干预方法、照护支持管理、效果评价7个方面,共33条证据。结论本研究汇总了MCI老年患者认知管理的最佳证据,为医护人员有针对性地开展认知管理提供循证依据。Objective To search,evaluate and summarize the best evidence of cognitive management of mild cognitive impairment(MCI)in the elderly patients,so as to provide evidence-based basis for nursing intervention and care.Methods The article on the management of elderly MCI was systematically searched in UpToDate,National Institute for Health and Care Excellence,National Guideline Clearinghouse,Chinese Guideline Network,Joanna Briggs Institute Evidence-Based Health Care Center in Australia,Registered Nurses'Association of Ontario in Canada,Ovid JBI,Wiley,PubMed,WanFang Data,China National Knowledge Infrastructure,and VIP,including the latest clinical practice guideline,systematic review,expert consensus,and thematic evidence summary,randomized controlled trial and quasi experimental study.The retrieval time limit was from January 1,2012 to December 31,2021.Two elderly nursing researchers independently evaluated the article quality and extracted the best evidence.Results A total of 14 articles were included,involving 3 clinical practice guidelines,3 expert consensus,3 systematic reviews,1 thematic evidence summary,3 randomized controlled trials,and 1 quasi experimental study.According to the clinical situation and the comprehensive management system of community-outpatient screening-diagnosis-comprehensive intervention-returning to the community,a total of 33 pieces of evidence were formed in 7 aspects,including evaluation object and opportunity,evaluation content and screening tools,disease diagnosis and management,Cognitive Training Nursing Clinic construction,cognitive training and intervention methods,care support management,and effect evaluation.Conclusions This article summarizes the best evidence of cognitive management of the elderly with MCI,and provides evidence-based basis for medical and nursing staff to carry out targeted cognitive management.

关 键 词：老年人 轻度认知障碍 证据总结 

分 类 号：R473.74[医药卫生—护理学]