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护理学报 ›› 2023, Vol. 30 ›› Issue (11): 41-46.doi: 10.16460/j.issn1008-9969.2023.11.041

• 循证护理 • 上一篇    下一篇

缺血性脑卒中复发预防的最佳证据总结

涂英1, 杜丹阳1, 舒严1, 曾涛2   

  1. 1.广州医科大学 护理学院,广东 广州 510182;
    2.广州市第一人民医院 神经内科,广东 广州 510180
  • 收稿日期:2023-02-17 出版日期:2023-06-10 发布日期:2023-07-10
  • 作者简介:涂英（1968-）,女,福建龙岩人,硕士,副教授,护理学基础教研室主任。

Best evidence summary of prevention of recurrent ischemic stroke

TU Ying1, DU Dan-yang1, SHU Yan1, ZENG Tao2   

  1. 1. School of Nursing, Guangzhou Medical University, Guangzhou 510182, China;
    2. Dept. of Neurology, Guangzhou First People's Hospital, Guangzhou 510180, China
  • Received:2023-02-17 Online:2023-06-10 Published:2023-07-10

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摘要： 目的 检索、评价和总结缺血性脑卒中复发预防的最佳证据,为预防缺血性脑卒中复发提供证据支持。方法 采用PIPOST模型构建研究问题,按照“6S”证据资源金字塔模型依次检索各数据库与“缺血性脑卒中复发预防”相关的证据,由4名完成系统循证护理培训的研究者独立评价文献质量并提取证据。结果 共纳入10篇文献,其中指南9篇、专家共识1篇。从复发风险评估、生活方式调整、指标监测、管理与随访、健康教育和复发识别6个维度总结出35条最佳证据。结论 医护人员要重视对缺血性脑卒中患者复发危险因素的管理,结合临床实际针对性选择最佳证据,为缺血性脑卒中患者制订个性化的复发预防策略,从而降低复发率。

关键词: 缺血性脑卒中, 复发, 预防, 最佳证据, 循证护理

Abstract: Objective To retrieve, evaluate and summarize the best evidence for the prevention of recurrent ischemic stroke, and to provide evidence support for the prevention of recurrent ischemic stroke. Methods PIPOST model was used to identify research questions, and the evidence related to "ischemic stroke recurrence prevention" in each database was retrieved according to the 6S pyramid. Four researchers who completed systematic evidence-based nursing training independently evaluated the quality of literature and extracted evidence. Results Ten pieces of literature were included, including 9 guidelines and 1 expert consensus. Thirty-five pieces of best evidence were summarized from six dimensions of relapse risk assessment, lifestyle adjustment, indicator monitoring, management and follow-up, health education and relapse identification. Conclusion More attention should be paid to the management of recurrence risk factors in patients with ischemic stroke, and the best evidence should be selected based on clinical practice to formulate personalized recurrence prevention strategies for patients with ischemic stroke, so as to reduce the recurrence rate.

Key words: ischemic stroke, recurrence, prevention, best evidence, evidence-based nursing

中图分类号: 

  • R473.74
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