患者报告结局在脑卒中患者临床康复中应用: 范围综述  

Application of patient-reported outcome in clinical rehabilitation of stroke patients:A scoping review

作　　者：苟昕雨 吴恒璟[2] 谢逸钧 吴静[1] GOU Xinyu;WU Hengjing;XIE Yijun;WU Jing(School of Nursing,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;Clinical Center for Intelligent Rehabilitation Research,Shanghai Yangzhi Rehabilitation Hospital,School of Medicine,Tongil University,Shanghai 201609,China)

机构地区：[1]上海中医药大学护理学院,上海201203 [2]同济大学附属养志康复医院智能康复临床研究中心,上海201609

出　　处：《同济大学学报（医学版）》2024年第5期740-745,共6页Journal of Tongji University(Medical Science)

基　　金：上海市康复医学会健康管理优青人才(2023JGYQ08);上海申康医院发展中心临床三年行动计划研究型医师能力项目(SHDC2022CRS049)。

摘　　要：目的综述患者报告结局在脑卒中康复中应用现状的证据。方法以“患者报告结局”“卒中”“康复”“Patient Reported Outcome”“Stroke”“Rehabilitation”为检索词,在中国知网、万方数据库、维普数据库、中国生物医学文献数据库、PubMed、Web of Science核心集、Embase、Cochrane Library 8个中英文数据库中系统检索和分析。检索时限为建库至2023年12月31日。结果共检索到830篇文献,本综述纳入14篇文献,有关康复评定采取量表的方式进行患者报告结局(patient reported outcome,PRO)的应用,其中1篇设计了基于PRO的干预方案。14篇文献介绍了10个评估工具,PROMIS-10是脑卒中患者康复评定中应用最多的工具。评估内容涉及总体健康状况、临床综合疗效、症状负担、生存质量以及吞咽功能改善情况、身体功能、疲劳、疼痛、社会参与满意度。结论PRO在脑卒中康复中应用不断增加,但评估工具亟待统一,效果有待全面验证。Objective To review the current status of the application of patient-reported outcomes in stroke rehabilitation.Methods Using the terms“patient reported outcome,”“stroke,”and“rehabilitation,”,the relevant literature was searched in 8 Chinese and English databases from inception to December 31,2023,including China Knowledge Network,Wanfang Database,Weipu Database,Chinese Biomedical Literature Database,PubMed,Web of Science Core Collection,Embase,and Cochrane Library.Results A total of 830 papers were retrieved and 14 studies were included in this review,in which the patient reported outcome(PRO)scales were used in rehabilitation assessment;including one study using a PRO-based intervention program.In 14 papers 10 assessment tools were introduced,with PROMIS-10 being the most frequently used in stroke patient rehabilitation assessments.The assessments focused on general health status,comprehensive clinical outcomes,symptom burden,quality of survival,and improvements in swallowing function,physical function,fatigue,pain,and social participation satisfaction.Conclusion The application of PRO in stroke rehabilitation is increasing;however,the assessment tools need to be unified,and their effectiveness should be fully validated.

关 键 词：脑卒中康复 患者报告结局 康复评定 范围综述 

分 类 号：R743.3[医药卫生—神经病学与精神病学]