摘要
目的检索、评价并整合脑卒中后抑郁状态识别与预防的相关证据。方法计算机系统检索BMJ最佳临床实践、UpToDate、美国国立指南文库、JBI数据库、the Cochrane Library等网站中关于脑卒中后抑郁状态识别与预防的证据总结、推荐实践、临床实践指南、专家共识、系统评价,进行方法学质量评价后,根据主题对证据进行提取与汇总。结果根据纳入标准筛选出文献12篇,包括证据总结5篇、临床实践指南3篇、专家共识1篇、系统评价3篇。通过阅读、提取和归类,从筛查与评估、管理、非药物治疗和药物治疗4个方面共总结了26条最佳证据。结论总结了有关卒中后抑郁状态识别与预防的最佳证据,形成了具体的推荐建议,可为医护人员提供循证依据。
Objective To retrieve,evaluate and summarize the available evidence of identifying and preventing patients with post-stroke depression.Methods The researchers systematically retrieved BMJ Best Practice,UpToDate,National Guideline Clearinghouse,Joanna Briggs Institute Library,the Cochrane Library,and other databases to collect relevant evidence summaries,best practice recommendations,clinical practice guidelines,expert consensus,and systematic reviews.Available evidence was extracted and summarized based on the themes after the methodological quality assessments were completed.Results A total of 12 articles were retrieved,including 5 evidence summaries,3 guidelines,1 expert consensus,and 3 systematic reviews.Twenty-six pieces of evidences were summarized into the following 4 categories:screening and assessment,management,non-pharmacological therapy,and pharmacotherapy.Conclusion This study summarized the best evidence of identifying and preventing patients with post-stroke depression,and generated recommendations,which can provide evidence for healthcare professionals.
作者
王晓玲
杨婷
尹专叶
张颖
Xiaoling Wang;Ting Yang;Zhuanye Yin;Ying Zhang(Burns and Plastic Surgery,the First Affiliated Hospital of Dali University,Dali 671000,China;Department of Neurology,Dali Bai Autonomous Prefecture People's Hospital,Dali 671000,China;Department of Obstetrics,the First People's Hospital of Dali,Dali 671000,China;College of Nursing,Dali University,Dali 671000,China)
出处
《中华脑血管病杂志(电子版)》
2023年第1期51-56,共6页
Chinese Journal of Cerebrovascular Diseases(Electronic Edition)
基金
上海市地方高水平大学建设循证护理创新研究(FNDGJ201915)。
关键词
脑卒中后抑郁
循证医学
证据总结
Post-stroke depression
Evidence-based medicine
Evidence summary
作者简介
通信作者:杨婷,Email:66826595@qq.com。