以质量求发展,以服务铸品牌

Journal of Nursing ›› 2020, Vol. 27 ›› Issue (23): 37-41.doi: 10.16460/j.issn1008-9969.2020.23.037

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Best Evidence Summary of Prevention and Management of Hemiplegic Shoulder Pain in Stroke Patients

HUANG Hou-qiang1a, GUO Sheng-min1b, YE Li2, ZHENG Si-lin1a   

  1. 1a. Dept. of Nursing Administration; 1b. Dept. of Rehabilitation,Affiliated Hospital of Southwest Medical University,Luzhou 646000,China;
    2. School of Nursing,Southwest Medical University,Luzhou 646000,China
  • Received:2020-09-27 Online:2020-12-10 Published:2021-01-15

Abstract: Objective To search and summarize the best evidence of prevention and management of hemiplegic shoulder pain in stroke patients.Methods We searched PubMed、JBI、CENTRAL、CINAHL、RNAO、Cochrane Library、NGC、NICE、SIGN、CBM、CNKI、Wangfang and VIP for guidelines,expert consensus,systematic review and recommended practice from 1 January in 2014 to 25 November in 2019.Two researchers evaluated the quality of the literature and conducted cross-checking.In case of any dispute,the third party was introduced to make a decision and evidence was extracted from the literature that met the inclusion and exclusion criteria.Results Eleven papers were included in this research,with four guidelines,one consensus and six systemic reviews.The evidence was summarized from 6 aspects of health education,shoulder evaluation,activity,drug treatment and adjuvant treatment,obtaining 21 best evidence.Conclusion Clinical environment,patients' wishes and other factors should be taken into consideration for targeted evidence application.Meanwhile,continuous update of the best evidence is beneficial to providing scientific methods for hemiplegic shoulder pain,so as to improve the quality of clinical nursing.

Key words: stroke, hemiplegia, shoulder pain, evidence summary

CLC Number: 

  • R473.74
[1] 李永祥,施爱群,王大明.肌肉骨骼超声评估偏瘫后肩痛的病理生理机制[J].中国康复医学杂志,2016,31(10):1152-1155.DOI:10.3969/j.issn.1001-1242.2016.10.023.
[2] Gittler M,Davis AM.Guidelines for Adult Stroke Rehabilitation and Recovery[J].JAMA,2018,319(8):820.DOI:10.1161/STR.0000000000000098.
[3] Lucylynn L,Mphysio,Mpsych.Hemiplegic Shoulder Pain:Rehabilitation[J].JBI Libr Syst Rev,2015,8(1):3-6.DOI:15.1238/16643553.
[4] Aromataris E,Fernandez R,Godfrey CM,et al.Summarizing Systematic Reviews:Methodological Development,Conduct and Reporting of an Umbrella Review Approach[J].Int J E-vid Based Healthc,2015,13(3):132-140.DOI:10.1097/XEB.0000000000000055.
[5] 韦当,王聪尧,肖晓娟,等.指南研究与评价(AGREEⅡ)工具实例解读[J].中国循证儿科杂志,2013,8(4):316-319.DOI:10.3969/j.issn.1673-5501.2013.04.017.
[6] 顾歆纯,王天晟,董淑杰,等.基于AGREEⅡ的2型糖尿病指南和共识质量评价[J].中国药学杂志,2016,51(18):1626-1630.DOI:10.11669/cpj.2016.18.019.
[7] 熊俊,陈日新.系统评价/Meta分析方法学质量的评价工具AM-STAR[J].中国循证医学杂志,2011,11(9):1084-1089.DOI:10.3969/j.issn.1672-2531.2011.09.017.
[8] 张福英,鲍康身.循证护理在ICU机械通气患者肠内营养并发症预防的应用[J].重庆医学,2013,11(29):3589-3591.DOI:10.3969/j.issn.1671-8348.2013.29.056.
[9] 杨莘,梁建殊,鞋家鑫.中国脑卒中护理指导规范[EB/OL].(2016-05-08).http://guide.medlive.cn/guideline/14146.
[10] 张通,赵军,蔡斌.中国脑卒中早期康复治疗指南[J].中华神经科杂志,2017,35(6):35-40.DOI:10.3760/cma.j.issn.1006-7876.2017.06.002.
[11] Lindley,Berglund,Brien,et al.Clinic Guidelines for Stroke Management 2017[R/OL].(2017-03-16)[2020-01-15].http://guide.medlive.cn/.
[12] Winstein CJ,Stein J,Arena R,et al.Guidelines for Adult Stroke Rehabilitation and Recovery[J].Stroke,2018,319(8):820-821.DOI:10.1161/STR.0000000000000098.
[13] Hebert D,Lindsay MP,McIntyre A,et al.Canadian Stroke Best Practice Recommendations:Stroke Rehabilitation Practice Guidelines,Update 2015[J].Int J Stroke,2016,11(4):459-484.DOI:10.1177/1747493016643553.
[14] Lee JH,Baker LL,Johnson RE,et al.Effectiveness of Neuromuscular Electrical Stimulation for Management of Shoulder Subluxation Post-stroke:A Systematic Review with Meta-analysis[J].Clin Rehabil 2017,31(11):1431-1444.DOI:10.1177/0269215517700696.
[15] Grampurohit N,Pradhan S,Kartin D.Efficacy of Adhesive Taping as an Adjunt to Physical Rehabilitation To Influence Outcomes Post-stroke:A Systematic Review[J].Top Stroke Rehabil,2015,22(1):72-82.DOI:10.1179/1074935714z.0000000031.
[16] Nadler M,Pauls MH.Shoulder Orthoses for the Prevention and Reduction of Hemiplegic Shoulder Pain and Subluxation:Systematic Review[J].Clin Rehabil,2016,31(4):444-453.DOI:12.1135/2016/728136.
[17] Ravichandran H,Janakiraman B,Sundaram S,et al.Systematic Review on Effectiveness of Shoulder Taping in Hemiplegia[J].J Stroke Cerebrovasc Dis,2019,28(6):1463-1473.DOI:10.1016/j.jstrokecerebrovasdis.2019.03.021.
[18] Vafadar AK,CotéJN,Archambault PS.Effectiveness of Functional Electrical Stimulation in Improving Clinical Outcomes in the Upper Arm following Stroke:A Systematic Review and Meta-analysis[J].Biomed Res Int,2015,8(2):1-14.DOI:10.1155/2015/729768.
[19] Peng L,Zhang C,Zhou L,et al.Traditional Manual Acupuncture Combined with Rehabilitation Therapy for Shoulder Hand Syndrome after Stroke within the Chinese Healthcare System:A Systematic Review and Meta-analysis[J].Clin Rehabil,2017,12(3):12-18.DOI:10.1177/0269215517729528.
[20] 金晓静,孙彩霞,卫庆,等.微信公众平台在置入PICC患者健康教育中的应用效果[J].护理学报,2017,24(12):64-67.DOI:10.16460/j.issn1008-9969.2017.12.064.
[21] 詹昱新,杨中善,李素云,等.基于循证构建住院患者肠内营养护理质量评价指标体系[J].护理学报,2019,26(10):26-31.DOI:10.16460/j.issn1008-9969.2019.10.026.
[22] 陈利强,原永康,张君,等.躯干控制训练对脑卒中患者运动能力的影响[J].中国实用医刊,2018,45(20):31.DOI:10.3760/cma.j.issn.1674-4756.2018.20.010.
[23] 周媚媚,路微波,李放,等.脑卒中后早期偏瘫肩痛与肩关节被动活动度相关性分析[J].中国运动医学杂志,2015(8):84-86.
[24] 李佳梅,陈鸿芳,刘宁,等.脑梗死偏瘫患者良肢位管理的最佳证据总结[J].护理学报,2019,26(24):12-15.DOI:10.16460/j.issn1008-9969.2019.24.022.
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