目的:总结颅脑损伤患者认知功能障碍的最佳循证管理策略,为临床护理实践提供参考。
方法:审查。
方法:使用PRISMA指南进行了综述。在计算机决策系统中对脑损伤患者认知功能障碍的管理进行了系统的证据搜索,指南网站,专业协会网站和综合数据库自创建之日起至2023年6月21日。包括的证据类型是临床决策,指导方针,证据摘要,最佳实践,建议的做法,专家共识,系统评价和荟萃分析。两名在循证方法论系统中接受培训的研究人员独立评估了文献的质量,并提取了文献,对纳入的证据进行整合和分级。
结果:共选取20篇文章,包括九项准则,三篇专家共识文章,一篇临床实践文章和七篇系统综述,文献总体质量较高。在七个方面总结了30条证据:评估,多学科团队,康复计划,认知干预,运动干预,音乐干预和药物管理。
结论:本研究总结了成人颅脑损伤患者护理中认知功能障碍管理的最新证据,为临床护理实践提供参考。在临床工作中,应选择最佳证据进行局部化、个体化应用,最好的证据应该不断更新,以规范护理实践。
■脑损伤后出现认知障碍的患者常出现记忆力减退,注意力不足和迷失方向,无法过正常的生活和体验很多享受,这严重影响了他们的身心健康,给他们的家庭和社会造成了巨大的负担。基于证据的颅脑损伤认知障碍护理管理的最佳策略对于规范临床护理实践和及时提供,专业,对患者进行系统全面的护理干预。
■这项审查是根据PRISMA2020声明指南报告的,如适用,提高证据综合报告的透明度。
■本研究已在复旦大学循证护理中心注册,JBI卓越中心,注册号为ES20232566,http://ebn。护理。福丹。edu.cn/myRegisterList。
■没有患者或公众捐款。
OBJECTIVE: To summarize the best evidence-based strategies for the management of cognitive dysfunction in patients with brain injury and to provide a reference for clinical nursing practice.
METHODS: Review.
METHODS: The review was presented using PRISMA guidelines. A systematic search of evidence on the management of cognitive dysfunction in patients with brain injury was conducted in computerized decision systems, guideline websites, professional association websites and comprehensive databases from the date of creation to 21 June 2023. The types of evidence included were clinical decision making, guidelines, evidence summaries, best practices, recommended practices, expert consensus, systematic reviews and meta-analyses. Two researchers trained in evidence-based methodological systems independently evaluated the quality of the literature and extracted, integrated and graded the evidence for inclusion.
RESULTS: A total of 20 articles were selected, including nine guidelines, three expert consensus articles, one clinical practice article and seven systematic reviews, and the overall quality of the literature was high. Thirty pieces of evidence were summarized in seven areas: assessment, multidisciplinary team, rehabilitation program, cognitive intervention, exercise intervention, music intervention and medication management.
CONCLUSIONS: This study summarizes the latest evidence on the management of cognitive dysfunction in the care of adults with brain injury and provides a reference for clinical nursing practice. The best evidence should be selected for localized and individualized application in clinical work, and the best evidence should be continuously updated to standardize nursing practice.
UNASSIGNED: Patients with cognitive impairment after brain injury often suffer from memory loss, attention deficit and disorientation and are unable to have a normal life and experience much enjoyment, which seriously affects their physical and mental health and creates a great burden of care for their families and society. Best evidence-based strategies for the nursing management of cognitive impairment in brain injury are essential for standardizing clinical nursing practice and providing timely, professional, systematic and comprehensive nursing interventions for patients.
UNASSIGNED: This review is reported following the PRISMA 2020 statement guidelines, as applicable, to enhance transparency in reporting the evidence synthesis.
UNASSIGNED: This study has been registered with the Fudan University Centre for Evidence-based Nursing, a JBI Centre of Excellence under registration number ES20232566, http://ebn.nursing.fudan.edu.cn/myRegisterList.
UNASSIGNED: No patient or public contribution.