脑卒中运动功能障碍患者自我管理的最佳证据总结

BackgroundSelf-management meets the long-term rehabilitation needs of stroke patients and their families. Howeverthere is a lack of relevant evidenceand there is no scientific and standardized self-management program in clinical practice. Objective To evaluate and summarize the best evidence of self-management in patients with motor dysfunction after stroke. Methods PubMedCochrane LibraryWeb of ScienceEmbaseCINAHLCNKIWanfang DataVIPChinese Biomedical Literature DatabaseCBMAmerican Heart Association/American Stroke AssociationAHA/ASAWorld Stroke OrganizationWSOChinese Stroke AssociationCSAGuidelines International NetworkGINScottish Intercollegiate Guidelines NetworkSIGNNational Guideline ClearinghouseNGCand Yimaitong were searched for relevant research evidence on self-management of patients with motor dysfunction after stroke from inception to July 2022including guidelinesexpert consensusessystematic reviewsquasi-experimental studiesand randomized controlled studies. Two researchers independently evaluated the quality of the retrieved literature by using the 2017 version of the Appraisal of Guidelines for Research and EvaluationAGREE and the 2016 version of the literature evaluation criteria developed by the Joanna Briggs InstituteJBIEvidence-based Health Care Centerextracted evidence and graded the quality of the evidence to summarize the best evidence of self-management in patients with motor dysfunction after stroke. Results A total of 36 studies were involvedincluding 9 guidelines4 expert consensuses5 systematic reviews5 quasi-experimental studiesand 13 randomized controlled studieswhich were summarized in 6aspects of organization and managementassessmentexercise instructionhealth educationpsychological supportmonitoring and follow-up. ConclusionsThe evidence of self-management in patients with motor dysfunction after stroke summarized in this study contains6 aspectsorganization and managementassessmentexercise instructionhealth educationpsychological supportmonitoring and follow-up. Healthcare workers should select the best evidence based on the individual situation and needs of patients in the context of clinical practiceand provide personalized self-management interventions for patientsso as to improve their motor function and selfmanagement abilitypromoting the recovery of disease.