PDF(Pubmed)
Abstract：
As part of the WHO Rehabilitation 2030 call for action, the WHO Rehabilitation Programme is developing its Package of Interventions for Rehabilitation (PIR) to support ministries of health around the globe in integrating rehabilitation services into health systems. As a vital step for this PIR development, we conducted a systematic review of clinical practice guidelines (CPGs) for dementia to identify interventions for rehabilitation and related evidence.
Following WHO Rehabilitation Programme and Cochrane Rehabilitation\'s methodology, quality CPGs published in English between January 2010 and March 2020 were identified using PubMed, Embase, CINAHL, PEDro, Google Scholar, guideline databases, and professional society websites. Guideline quality was assessed using the Appraisal of Guidelines for Research and Evaluation (II).
Of the 22 CPGs that met the selection criteria, 6 satisfied the quality evaluation. Three hundred and thirty rehabilitation-related recommendations were identified, mostly concentrated in the areas of cognition, emotion, and carer support. There were many strong interventions, with moderate- to high-quality evidence that could be easily introduced in routine practice. However, major limitations were found both in the quality of evidence and scope, especially in areas such as education and vocation, community and social life, and lifestyle modifications.
Further rigorous research is needed to build quality evidence in dementia rehabilitation in general, and especially in neglected areas for rehabilitation. Future work should also focus on the development of CPGs for dementia rehabilitation. A multipronged approach is needed to achieve Universal Health Coverage for dementia rehabilitation.
Following WHO Rehabilitation Programme and Cochrane Rehabilitation\'s methodology, quality CPGs published in English between January 2010 and March 2020 were identified using PubMed, Embase, CINAHL, PEDro, Google Scholar, guideline databases, and professional society websites. Guideline quality was assessed using the Appraisal of Guidelines for Research and Evaluation (II).
Of the 22 CPGs that met the selection criteria, 6 satisfied the quality evaluation. Three hundred and thirty rehabilitation-related recommendations were identified, mostly concentrated in the areas of cognition, emotion, and carer support. There were many strong interventions, with moderate- to high-quality evidence that could be easily introduced in routine practice. However, major limitations were found both in the quality of evidence and scope, especially in areas such as education and vocation, community and social life, and lifestyle modifications.
Further rigorous research is needed to build quality evidence in dementia rehabilitation in general, and especially in neglected areas for rehabilitation. Future work should also focus on the development of CPGs for dementia rehabilitation. A multipronged approach is needed to achieve Universal Health Coverage for dementia rehabilitation.
摘要：
目标：作为世卫组织2030年康复行动呼吁的一部分，世卫组织康复计划正在制定其康复干预措施一揽子计划（PIR），以支持全球卫生部将康复服务纳入卫生系统。作为PIR开发的重要一步，我们对痴呆症临床实践指南(CPGs)进行了系统评价,以确定康复干预措施和相关证据.
方法：遵循WHO康复计划和Cochrane康复方法，2010年1月至2020年3月以英文发布的质量CPG是使用PubMed，Embase,CINAHL,PEDro,谷歌学者，指南数据库，和专业社会网站。使用《研究与评价指南评价》(II)对指南质量进行了评估。
结果：在符合选择标准的22个CPG中，六项满足质量评价。三百三十条有关康复的建议，被确认,主要集中在认知领域，情感和照顾者的支持。有许多强有力的干预措施，具有中等到高质量的证据，可以很容易地在常规实践中引入。然而,在证据的质量和范围上都发现了主要的局限性，特别是在教育和职业等领域，社区和社会生活，和生活方式的改变。
结论：需要进一步严格的研究来建立一般痴呆康复的质量证据，尤其是在被忽视的康复领域。未来的工作还应侧重于开发用于痴呆症康复的CPG。需要多管齐下的方法来实现痴呆症康复的全民健康覆盖。
方法：遵循WHO康复计划和Cochrane康复方法，2010年1月至2020年3月以英文发布的质量CPG是使用PubMed，Embase,CINAHL,PEDro,谷歌学者，指南数据库，和专业社会网站。使用《研究与评价指南评价》(II)对指南质量进行了评估。
结果：在符合选择标准的22个CPG中，六项满足质量评价。三百三十条有关康复的建议，被确认,主要集中在认知领域，情感和照顾者的支持。有许多强有力的干预措施，具有中等到高质量的证据，可以很容易地在常规实践中引入。然而,在证据的质量和范围上都发现了主要的局限性，特别是在教育和职业等领域，社区和社会生活，和生活方式的改变。
结论：需要进一步严格的研究来建立一般痴呆康复的质量证据，尤其是在被忽视的康复领域。未来的工作还应侧重于开发用于痴呆症康复的CPG。需要多管齐下的方法来实现痴呆症康复的全民健康覆盖。
