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护理学报 ›› 2020, Vol. 27 ›› Issue (23): 42-48.doi: 10.16460/j.issn1008-9969.2020.23.042

• 循证护理 • 上一篇    下一篇

脑卒中后抑郁管理的最佳证据总结

谭静1, 韩江全2, 胡春婷3, 廉民学4, 罗红波2, 李妍5, 刘宁1   

  1. 1.遵义医科大学珠海校区,广东 珠海 519041;
    2.遵义医科大学第五附属(珠海)医院 神经内科,广东 珠海 519100;
    3.西安交通大学第二附属医院 神经内科,陕西 西安 710004;
    4.西安交通大学第一附属医院 神经外科,陕西 西安 710061;
    5.英国国王学院南丁格尔护理学院,英国 伦敦 WC2R2LS
  • 收稿日期:2019-11-26 出版日期:2020-12-10 发布日期:2021-01-15
  • 通讯作者: 刘宁(1981-),女,陕西西安人,博士,副教授,硕士研究生导师,南方医院JBI循证护理合作中心导师库成员。E-mail:761066906@qq.com
  • 作者简介:谭静(1996-),女,贵州遵义人,本科学历,硕士研究生在读。
  • 基金资助:
    贵州省科技计划项目([2017]1223,1226);遵义市“15851人才精英工程”科研项目(黔科合基础[2017]1223);遵义医学院博士启动基金(F-750,NO.24);遵义医学院硕士启动基金(NO.24);遵义医科大学珠海校区大学生创新创业训练计划项目(ZHXT20170002,ZHCX201822,ZHCX201902)

Best Evidence Summary for Management of Post-stroke Depression

TAN Jing1, HAN Jiang-quan2, HU Chun-ting3, LIAN Min-xue4, LUO Hong-bo2, LI Yan5, LIU Ning1   

  1. 1. Zhuhai Campus,Zunyi Medical University,Zhuhai 519041,China;
    2. Dept. of Neurology,the Fifth Affiliated (Zhuhai) Hospital of Zunyi Medical University,Zhuhai 519100,China;
    3. The Second Affiliated Hospital of Xi’an Jiaotong University,Xi’an 710004,China;
    4. The First Affiliated Hospital of Xi’an Jiaotong University,Xi’an 710061,China;
    5. Nightingale School of Nursing,King’s College,London WC2R2LS,England
  • Received:2019-11-26 Online:2020-12-10 Published:2021-01-15

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摘要： 目的 检索并获取脑卒中后抑郁管理的最佳证据,为医护人员、管理者及患者进行脑卒中后抑郁管理提供参考。方法 使用计算机检索英国国家临床医学研究所指南库、UpToDate、Cochrane Library、Clinicalkey、JBI循证卫生保健中心数据库、中国知网、BMJ、最佳实践信息册、PubMed、美国指南网、荷兰医学文摘数据库、万方数据库、Sciencedirect、中国指南网及中国生物医学文献数据库建库至2019年7月涉及到脑卒中后抑郁管理的指南、专家共识、证据总结及系统评价,纳入的相关文献由2名研究者进行质量评价和证据提取。结果 共纳入17篇文献,包括3篇指南、2篇专家共识、6篇系统评价、6篇证据总结。最终从5个方面总结出24条最佳证据。结论 关于脑卒中后抑郁管理的最佳证据可以为护理工作人员提供循证证据。通过应用最佳证据,以更系统、科学的方法管理脑卒中后抑郁,提高护理质量。

关键词: 脑卒中, 抑郁, 脑卒中后抑郁, 循证护理

Abstract: Objective To select and obtain the best evidence for the management of post-stroke depression,and to provide reference for medical staffs to manage post-stroke depression.Methods We conducted research in the National Institute of Clinical Excellence(NICE),UpToDate,Cochrane Library,Clinicalkey,Joanna Briggs Institute(JBI),China National Knowledge Infrastructure(CNKI),BMJ,Best Practice Information Sheet (BPIS),PubMed,National Guideline Clearinghouse(NGC),Embase,Wanfang database,Science direct,Chinese Guideline Clearinghouse and China Biology Medicine (CBM) Construction from the inception until July 2019 involving guidelines,expert consensus,evidence summaries and systematic reviews of post-stroke depression management.The quality evaluation and evidence extraction of the included literatures were conducted by two researchers.Results A total of 17 articles were selected,including 3 guidelines,2 expert consensus ,6 systematic evaluations and 6 evidence summaries.Finally,24 pieces of best evidence were summarized from 5 aspects.Conclusion This study summarizes the best evidence for the management of post-stroke depression and provided evidence-based evidence for nursing staff.The best evidence is helpful to manage post-stroke depression and improve the quality of care in a systematic and scientific way.

Key words: stroke, depression, post-stroke depression, evidence-based nursing

中图分类号: 

  • R473.73
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