卒中患者机器人辅助步态训练康复方案的最佳证据总结  

The best evidence summary of rehabilitation schemes on robot-assisted gait training for stroke patients

作　　者：王开 李燕 金爱萍[2] 杨晓培 费文玲 于晓丽 孟桂林 朱晓萍[1] Wang Kai;Li Yan;Jin Ai-ping;Yang Xiaopei;Fei Wenling;Yu Xiaoli;Meng Guilin;Zhu Xiaoping(Nursing Department,Tenth People's Hospital of Tongji University,Shanghai 200072,China)

机构地区：[1]同济大学附属第十人民医院护理部,上海200072 [2]同济大学附属第十人民医院神经内科,上海200072

出　　处：《护理学杂志》2023年第5期101-105,共5页Journal of Nursing Science

基　　金：国家自然科学基金面上项目(72074168);上海市2020年度“科技创新行动计划”项目(20142202900)。

摘　　要：目的提取并汇总国内外卒中患者机器人辅助步态训练康复护理及管理的最佳证据,为制订适合我国的卒中患者机器人辅助步态训练康复方案提供参考。方法按照循证资源“6S”模型,系统检索国内外各数据库及指南网关于卒中患者机器人辅助步态训练的证据,包括临床决策、指南、证据汇总、系统评价、专家意见/共识、随机对照试验,检索时间为2016年1月1日至2021年12月31日。由2名研究人员独立对文献进行整体评价,选择符合纳入标准的文献,纳入并提取证据。结果共检索文献3314篇,去除重复、结果指标不明确或不相关、质量不达标及不完整的文献,最终纳入19篇,包括指南4篇、证据总结3篇、系统评价8篇、随机对照试验4篇。总结的最佳证据包括评估、干预计划、干预时机、干预频率、干预前准备、参数调整、注意事项、效果评价和健康教育9个方面23条推荐意见。结论该研究总结的卒中患者机器人辅助步态训练康复方案最佳证据具有一定的前沿性与科学性,可以为临床医护人员实施机器人步态康复训练提供相应的循证依据。Objective To extract and summarize the best evidence on the rehabilitation nursing and management of robot-assisted gait training for stroke patients in domestic and overseas,so as to provide a reference for developing rehabilitation schemes of robot assisted gait training suitable for stroke patients in China.Methods According to the principle of evidence-based resource"6S"model,the evidence on robot-assisted gait training for stroke patients in various databases and guideline networks in domestic and overseas was systematically searched,including clinical decision-making,guidelines,best evidence summary,and systematic evaluation.The search time was from January 1,2016 to December 31,2021.The overall evaluation of the literature was conducted by two researchers,the literature that met the inclusion criteria was selected,and relevant evidence was extracted.Results A total of 3314 articles were retrieved,and 19 articles(4 guidelines,3 evidence summary reports,8 systematic reviews and 4 randomized controlled trials)were finally included after eliminating repetitive,irrelevant,unqualified and incomplete articles.The best evidence included 23 recommendations from 9 aspects:assessment,intervention plan,intervention timing,intervention frequency,intervention measures,pre-intervention preparation,parameter adjustment,effect evaluation and health education.Conclusion The best evidence of rehabilitation nursing on robot-assisted gait training for stroke patients summarized in this study has frontier nature and scientific nature,so it can provide corresponding evidence for clinical medical staff to implement robot gait rehabilitation training.

关 键 词：卒中 机器人辅助步态训练 康复 循证护理 证据总结 

分 类 号：R473.5[医药卫生—护理学] R493[医药卫生—临床医学]