·84·军事护理2023年4月，40(4)脑卒中后疲劳管理的最佳证据总结寇玉珠1，乔建红2，于怡然3，王凤艳，王霞1，何静(1.山东第一医科大学第一附属医院神经内科，山东济南270014；2.山东第一医科大学第一附属医院门诊部；3.新疆医科大学第三临床医学院，新疆乌普木齐830000)【摘要】目的检索并总结脑卒中后疲劳管理的最佳证据，旨在为临床实践提供参考与依据。方法依照6s证据模型，检索国内外数据库关于脑卒中后疲劳管理的临床实践，指南、专家共识，证据总结，系统评价等循证证据。，采用各类文献质量评价工具进行文献质量评价及级别评定，结果共纳入文献18篇，包括指南4篇，系统评价13篇，证据总结1篇，归纳出21条证据。结论总结并归纳了目前脑卒中后疲劳管理的最佳证据，为医务工作者识别卒中后疲劳危险因素，精准评估，预防以及实施针对性干预提供了循证依据，【关键词】脑卒中：疲劳：卒中后疲劳：管理：循证护理d0i:10.3969/1.issm.2097-1826.2023.04.021【中图分类号】R47【文献标识码】A【文章编号】2097-1826(2023)04008405Management of Post-stroke Fatigue:Best Evidence SummaryKOU Yuzhu',QIAO Jianhong?,YU Yiran3,WANG Fengyan',WANG Xia',HE Jing'(1.Department of Neurology,The First Affiliated Hospital of Shandong First Medical University,Jinan 250014,Shandong Province,China;2.Departmentof Outpatient,The First Affiliated Hospital of Shandong First Medical University:3.The Third Clini-cal Medical College,Xinjiang Medical University,Urumqi 830000,Xinjiang Autonomous Region,China)Corresponding author:HE Jing,Tel:0531-89269111Abstract]Objective To search and summarize the best evidence of management of Post-stroke Fatigue(PSF)andto provide reference and basis for clinical practice.Methods Based on the 6s evidence model,domestic and internationaldatabases were systematically searched for clinical practice,guidelines,expert consensus,evidence summary,systematicevaluation and expert consensus on the management of PSF.The corresponding literature evaluation tools were used toevaluate the quality of literature and the level of evidence.Results A total of 18 pieces of literature were included.including 4 guidelines,13 systematic reviews and 1 evidence summary.A total of 21 pieces of evidence were summarized.Conclusions The best evidence summary of the management of PSF could provide an evidence-based basis for PSFrisk factors identification,accurate evaluation,prevention and targeted intervention.Key words]stroke;fatigue;post-stroke fatigue;management;evidence-based nursing[Mi1Nurs,2023,40(04):84-87,112]全球疾病负担研究(global burden of disease stu小系统的循证证据检索与文献评价，归纳适合我国y,GBD)显示，卒中是我国居民死亡的首要病因，且PSF患者管理的最佳证据，完善PSF管理的干预措现患人数高居世界首位，发病率、复发率和死亡率均施，为临床工作者提供参考与依据。呈逐年增加的趋势)。卒中后疲劳(post-stroke fa1资料与方法igue,PSF)是指卒中后患者出现身体疲惫、精神不1.1问题的确立采用PIPOST模式构建循证问济等病理性疲劳，不能通过休息改善且出现持续的能题)。目标人群(population,P):脑卒中患者；干预力下降与缺失的并发症，其患病率在25%~85%之方法(intervention,I):疲劳的危险因素、评估以及干间)。研究可表明，PSF病因复杂，涉及多种症状后预；应用证据的专业人员(professional,P):医护人遗症，病因尚未明确且无较好的治疗手段。指南]推员；结局(outcome,O):脑卒中后疲劳发生率；证据荐，采取个体化管理方案能够促进患者自主神经功能应用的场所(setting,S):神经内外科病房：证据类型恢复，提高其康复效果和生命质量。本研究旨在通过(type of evidence,T):包括指南、系统评价、证据总结和临床实践。本研究已通过复旦大学循证护理中【收稿日期120220422【修回日期】2023-02-16【作者简介】寇玉珠，硕士，护师，电话：0531-89269111心审核(ES20220173)。【通信作者】何静，电话：0531-892691111.2检索策略根据6S证据模型1o,对UpTo(C)1994-2023 China Academic Journal Electronic Publishing House.All rights reserved.http://www.cnki.net
