脑卒中后痉挛患者肢体功能康复的最佳证据总结  

Summary of the best evidence for limb function rehabilitation in patients with post-stroke spasm

作　　者：周星辰 廖如榆 黄龄漪 邓雅 蒲霞敏 郭声敏 ZHOU Xingchen;LIAO Ruyu;HUANG Lingyi;DENG Ya;PU Xiamin;GUO Shengmin(School of Nursing,Southwest Medical University,Luzhou,Sichuan 646000,China;Department of Nursing,the Affiliated Hospital of Southwest Medical University,Luzhou,Sichuan 646000,China)

机构地区：[1]西南医科大学护理学院,四川泸州646000 [2]西南医科大学附属医院护理部,四川泸州646000

出　　处：《现代医药卫生》2023年第13期2232-2238,共7页Journal of Modern Medicine & Health

基　　金：四川省科学技术厅重点项目(2020YFS0516);西南医科大学校级科研项目(2021SKYB11)。

摘　　要：目的检索并总结脑卒中后痉挛(PSS)患者肢体功能康复的最佳证据,为临床实践提供参考。方法检索UpToDate、Cochrane Library、CINAHL、Embase、PubMed、JBI Library、BMJ Best Practice、中国生物医学文献数据库、中国期刊全文数据库、维普、万方等数据库,检索时限为建库至2022年4月13日。收集PSS患者肢体功能康复相关文献,对纳入文献进行方法学质量评价并形成最佳证据。结果共纳入14篇文献,其中最佳实践1篇、指南7篇、专家共识1篇、证据总结3篇、系统评价2篇。通过对证据进行提前与总结,形成4个维度(团队建设、评估、干预措施、健康教育及随访)共37条关于PSS患者肢体功能康复的最佳证据。结论临床人员应根据最佳证据为PSS患者实施干预,尽早识别痉挛状态,选择有针对性的康复方案,并及时调整康复策略,以提高患者适应性,促进患者快速康复。Objective To retrieve and summarize the best evidence for limb function rehabilitation in patients with post-stroke spasms(PSS),in order to provide reference for clinical practice.Methods The databases such as UpToDate,Cochrane Library,CINAHL,Embase,PubMed,JBI Library,BMJ Best Practice,Chinese Biomedical Literature Database,Chinese Journal Full Text Database,VIP,Wanfang were retrieved.The search deadline was from database establishment to April 13,2022.The literatures on limb function rehabilitation in PSS patients were collected.The methodological quality evaluation of included literatures was conducted,and the best evidence was formed.Results A total of 14 literatures were included,including 1 best practice,7 guidelines,1 expert consensus,3 evidence summaries,and 2 systematic evaluations.By advancing and summarizing the evidence,a total of 37 pieces of best evidence for limb function rehabilitation in PSS patients were formed from 4 dimensions(team building,evaluation,intervention measures,health education and follow-up).Conclusion Clinical personnel should intervene for PSS patients based on the best evidence,identify spastic states as early as possible,choose targeted rehabilitation plans,and adjust rehabilitation strategies in a timely manner to improve patients′adaptability and promote patients′rapid recovery.

关 键 词：脑卒中 痉挛期 证据总结 护理 

分 类 号：R473.5[医药卫生—护理学]