摘要
目的:检索、评价社区轻度认知功能障碍(MCI)病人运动干预相关文献,汇总最佳证据,为社区卫生工作提供参考。方法:检索计算机决策系统、指南网站、循证数据库、原始研究数据库、专业数据库中相关的指南、专家共识、证据总结、系统评价/Meta分析。检索时限为建库至2023年4月30日。由2名研究者独立对纳入文献进行方法学质量评价,并对数据进行提取汇总。结果:共纳入18篇文献,包括指南2篇、专家共识4篇、证据总结1篇、系统评价11篇,从运动原则、组织形式、运动风险评估、运动方式、运动时间频率及强度、运动总量、运动进阶、效果评价与监测、注意事项9个方面形成23条最佳证据。结论:汇总了社区MCI病人运动干预的最佳证据,为社区工作者指导MCI病人进行有效合理的运动提供循证依据,通过实施运动干预,最终促进病人认知改善,延缓病人病情进展。
Objective:To search and evaluate the related literature of exercise intervention for patients with mild cognitive impairment in community,and summarize the best evidence to provide reference for community health work.Methods:Search computer decision-making system,guide website,evidence-based database,original research database,professional database for related guides,expert consensus,evidence summary,systematic evaluation/Meta-analysis.The retrieval time was from the inception to April 30,2023.Two researchers independently evaluated the quality of the included literature and extracted and summarized the data.Results:A total of 18 documents were included,including 2 guidelines,4 expert consensus,1 evidence summary and 11 systematic reviews.23 best evidences were formed from 9 aspects:exercise principles,organizational forms,exercise risk assessment,exercise methods,exercise time frequency and intensity,total exercise amount,exercise progress,effect evaluation and monitoring,and matters needing attention.Conclusion:This paper summarizes the best evidence of exercise intervention for community MCI patients,and provides evidence-based basis for community workers to guide MCI patients for effective and reasonable exercise.Through the implementation of exercise intervention,it finally promotes the cognitive improvement of patients and delays the disease progression of patients.
作者
张洪霞
赵越
喻行莉
游彤阳
程捷
邹玉婷
张代英
ZHANG Hongxia;ZHAO Yue;YU Xingli;YOU Tongyang;CHENG Jie;ZOU Yuting;ZHANG Daiying(School of Nursing,Southwest MedicalUniversity,Sichuan 646000 ChinaCorresponding)
出处
《循证护理》
2023年第23期4186-4192,共7页
Chinese Evidence-Based Nursing
基金
2021年度泸州市人民政府西南医科大学科技战略合作项目,编号:2021LZXNYD-J32
2023年度泸州市健康社会工作课题,编号:JK-2023-20。
关键词
认知功能障碍
运动
社区护理
证据总结
循证护理
cognitive impairment
exercise
community nursing
evidence summary
evidence-based nursing
