护理学报 ›› 2023, Vol. 30 ›› Issue (5): 53-58.doi: 10.16460/j.issn1008-9969.2023.05.053
轻度认知障碍患者运动干预的最佳证据总结
刘畅1, 常婧1, 焦雨晨1, 许丽娟2, 嵇艳1
- 1.南京医科大学 护理学院,江苏 南京 210029;
2.丽水学院医学院,浙江 丽水 323000
摘要： 目的 计算机检索轻度认知障碍患者运动干预相关证据,经评价与汇总后形成最佳证据总结。方法 计算机检索BMJ Best Practice、UpToDate、JBI、RNAO、NICE、SIGN、GIN、医脉通、美国心理协会官网、美国老年学学会官网、欧洲神经病学学会官网、阿尔茨海默病协会官网、Cochrane Library、PubMed、Embase、Web of Science、CINAHL、CBM、中国知网、万方数据库、维普数据库中关于轻度认知障碍患者运动干预相关的证据,包括指南、专家共识/立场声明、证据总结以及系统评价,经质量评价后对符合标准的文献进行证据提取并汇总。结果 共纳入20篇文献,其中专家共识/立场声明3篇、指南2篇、系统评价14篇和证据总结1篇。最终总结了27条最佳证据并归纳为7个大类。结论 本研究汇总了轻度认知障碍患者运动干预的最佳证据,为医护人员临床实践提供指导。
中图分类号:
- R473.74
| [1] 潘晶雪, 陈利群, 王敬丽. 社区轻度认知功能障碍老年人的交互式群组管理[J]. 护理学杂志, 2021, 36(13): 99-103;107.DOI:10.3870/j.issn.1001-4152.2021.13.099. [2] Jia L, Du Y, Chu L, et al.Prevalence, risk factors, and management of dementia and mild cognitive impairment in adults aged 60 years or older in China: a cross-sectional study[J]. Lancet Public Health, 2020, 5(12):e661-e671.DOI:10.1016/S2468-2667(20)30185-7. [3] 刘敏利, 周春兰, 龙艳娟, 等. 珠海市金湾区老年人轻度认知障碍现况调查及影响因素分析[J]. 护理学报, 2021, 28(13): 74-78.DOI:10.16460/j.issn1008-9969.2021.13.074. [4] Livingston G, Huntley J, Sommerlad A, et al.Dementia prevention, intervention, and care: 2020 report of the Lancet Commission[J]. Lancet, 2020, 396(10248):413-446.DOI:10.1016/s0140-6736(20)30367-6. [5] 中国痴呆与认知障碍诊治指南写作组, 中国医师协会神经内科医师分会认知障碍疾病专业委员会.2018中国痴呆与认知障碍诊治指南(五):轻度认知障碍的诊断与治疗[J]. 中华医学杂志, 2018, 98(17):1294-1301.DOI:10.3760/cma.j.issn.0376-2491.2018.17.003. [6] Frederiksen KS, Nielsen TR, Winblad B, et al.European Academy of Neurology/European Alzheimer's Disease Consortium position statement on diagnostic disclosure, biomarker counseling, and management of patients with mild cognitive impairment[J]. Eur J Neurol, 2021, 28(7): 2147-2155. DOI:10.1111/ene.14668. [7] Petersen RC, Lopez O, Armstrong MJ, et al.Practice guideline update summary: mild cognitive impairment: report of the guideline development, dissemination, and implementation subcommittee of the American Academy of Neurology[J].Neurology,2018, 90(3):126-135.DOI:10.1212/wnl.0000000000004826. [8] Dunne RA, Aarsland D, O'brien J T, et al.Mild cognitive impairment: the manchester consensus[J]. Age Ageing, 2021, 50(1):72-80. DOI:10.1093/ageing/afaa228. [9] Wang L, Wu B, Tao H, et al.Effects and mediating mechanisms of a structured limbs-exercise program on general cognitive function in older adults with mild cognitive impairment: a randomized controlled trial[J]. Int J Nurs Stud, 2020,110:103706.DOI:10.1016/j.ijnurstu.2020.103706. [10] Song D, Yu DSF.Effects of a moderate-intensity aerobic exercise programme on the cognitive function and quality of life of community-dwelling elderly people with mild cognitive impairment: a randomised controlled trial[J]. Int J Nurs Stud, 2019, 93:97-105.DOI:10.1016/j.ijnurstu.2019.02.019. [11] Bisbe M, Fuente-Vidal A, Lopez E, et al.Comparative cognitive effects of choreographed exercise and multimodal physical therapy in older adults with amnestic mild cognitive impairment: randomized clinical trial[J]. J Alzheimers Dis, 2020, 73(2):769-783.DOI:10.3233/jad-190552. [12] Ellis JL, Altenburger P, Lu Y.Change in depression, confidence, and physical function among older adults with mild cognitive impairment[J]. J Geriatr Phys Ther, 2019, 42(3):E108-e115.DOI:10.1519/jpt.0000000000000143. [13] 李紫梦, 靳英辉, 王云云, 等. 运动干预轻度认知功能障碍病人的证据总结与评价[J]. 护理研究, 2019, 33(6): 944-951.DOI:10.12102/j.issn.1009-6493.2019.06.008. [14] 胡雁, 郝玉芳. 循证护理学[M]. 北京:人民卫生出版社, 2018. [15] Hoffmann-Eβer W, Siering U, Neugebauer EA, et al.Guideline appraisal with AGREE II: online survey of the potential influence of AGREE II items on overall assessment of guideline quality and recommendation for use[J]. BMC Health Serv Res,2018,18(1):1-9.DOI:10.1186/s12913-018-2954-8. [16] The Joanna Briggs Institute (JBI). Critical appraisal checklist for text and opinion[EB/OL].[2021-09-18].http://joannabriggs.org/research/critical-appraisal-tools.html. [17] Pieper D, Lorenz RC, Rombey T, et al.Authors should clearly report how they derived the overall rating when applying AMSTAR 2-A cross-sectional study[J]. J Clin Epidemiol, 2021, 129:97-103.DOI:10.1016/j.jclinepi.2020.09.046. [18] 王春青, 胡雁.JBI证据预分级及证据推荐级别系统(2014版)[J]. 护士进修杂志, 2015(11):964-967.DOI:10.16821/j.cnki.hsjx.2015.11.002. [19] 中国老年医学学会认知障碍分会, 认知障碍患者照料及管理专家共识撰写组. 中国认知障碍患者照料管理专家共识[J]. 中华老年医学杂志, 2016, 35(10):1051-1060. DOI:10.3760/cma.j.issn.0254-9026.2016.10.007. [20] Cammisuli DM, Innocenti A, Franzoni F, et al.Aerobic exercise effects upon cognition in mild cognitive impairment: a systematic review of randomized controlled trials[J]. Arch Ital Biol, 2017,155(1-2):54-62. DOI:10.12871/000398292017126. [21] Chan JSY, Wu J, Deng K, et al.The effectiveness of dance interventions on cognition in patients with mild cognitive impairment: a meta-analysis of randomized controlled trials[J]. NeurosciBiobehav Rev, 2020,118:80-88.DOI:10.1016/j.neubiorev.2020.07.017. [22] Di Lorito C, Bosco A, Booth V, et al.Adherence to exercise interventions in older people with mild cognitive impairment and dementia:a systematic review and meta-analysis[J]. Prev Med Rep, 2020, 19:101139.DOI:10.1016/j.pmedr.2020.101139. [23] Farhang M, Miranda-Castillo C, Rubio M, et al.Impact of mind-body interventions in older adults with mild cognitive impairment: a systematic review[J]. Int Psychogeriatr, 2019,31(5):643-666.DOI:10.1017/s1041610218002302. [24] Gates N, Fiatarone Singh MA, Sachdev PS, et al.The effect of exercise training on cognitive function in older adults with mild cognitive impairment: a Meta-analysis of randomized controlled trials[J].Am J Geriatr Psychiatry, 2013, 21(11):1086-1097.DOI:10.1016/j.jagp.2013.02.018. [25] Huang X, Zhao X, Cai Y, et al.The cerebral changes induced by rxercise interventions in people with mild cognitive impairment and alzheimer's disease: a systematic review[J]. Arch GerontolGeriatr, 2022, 98:104547.DOI:10.1016/j.archger.2021.104547. [26] Huang X, Zhao X, Li B, et al. Comparative efficacy of various exercise interventions on cognitive function in patients with mild cognitive impairment or dementia: a systematic review and network Meta-analysis[J]. J Sport Health Sci, 2021: S2095-2546(21)00051-X.DOI:10.1016/j.jshs.2021.05.003. [27] Pedroso RV, Lima-Silva AE, Tarachuque PE, et al.The efficacy of physical exercise on cortical activity modulation in mild cognitive impairment: a systematic review[J]. Arch Phys Med Rehabil, 2021:2393-2401.DOI:10.1016/j.apmr.2021.03.032. [28] Song D, Yu DSF, Li P WC, et al.The effectiveness of physical exercise on cognitive and psychological outcomes in individuals with mild cognitive impairment: a systematic review and Meta-analysis[J]. Int J Nurs Stud, 2018, 79:155-164.DOI:10.1016/j.ijnurstu.2018.01.002. [29] Wei L, Chai Q, Chen J, et al.The impact of Tai Chi on cognitive rehabilitation of elder adults with mild cognitive impairment: a systematic review and Meta-analysis[J]. DisabilRehabil, 2020:1-10.DOI:10.1080/09638288.2020.1830311. [30] Wu VX, Chi Y, Lee JK, et al.The effect of dance interventions on cognition, neuroplasticity, physical function, depression, and quality of life for older adults with mild cognitive impairment: a systematic review and Meta-analysis[J]. Int J Nurs Stud, 2021, 122:104025.DOI:10.1016/j.ijnurstu.2021.104025. [31] Yu L, Liu F, Nie P, et al.Systematic review and meta-analysis of randomized controlled trials assessing the impact of baduanjin exercise on cognition and memory in patients with mild cognitive impairment[J]. Clin Rehabil, 2021, 35(4):492-505.DOI:10.1177/0269215520969661. [32] Zhang L, Li B, Yang J, et al.Meta-analysis: resistance training improves cognition in mild cognitive impairment[J]. Int J Sports Med, 2020, 41(12):815-823.DOI:10.1055/a-1186-1272. [33] Zhou XL, Wang LN, Wang J, et al.Effects of exercise interventions for specific cognitive domains in old adults with mild cognitive impairment: a Meta-analysis and subgroup analysis of randomized controlled trials[J]. Medicine (Baltimore),2020, 99(31):e20105.DOI:10.1097/md.0000000000020105. |
| [1] | 方艳艳, 李华俊, 冯子民, 黄丽华, 蒋梅梅. 便携式多功能下肢康复运动装置的研制与应用[J]. 护理学报, 2023, 30(4): 68-71. |
| [2] | 柴燕燕, 李潇, 刘宁, 叶丽娟, 曹建琼. 造血干细胞移植患者口腔护理管理的最佳证据总结[J]. 护理学报, 2023, 30(3): 63-67. |
| [3] | 李朴, 王梅, 宇丽, 刘敏, 李平, 张泓, 陈瑜, 胡雁, 胡少华. 神经重症患儿早期活动的最佳证据总结[J]. 护理学报, 2023, 30(2): 48-53. |
| [4] | 吕俭霞, 叶丽, 李彬, 吴波, 张含凤, 江庆华, 殷利. 头颈肿瘤放化疗患者吞咽困难预防性训练指导方案的最佳证据总结[J]. 护理学报, 2023, 30(2): 54-59. |
| [5] | 焦雨晨, 嵇艳, 孟瑶, 许丽娟. 心理资本在轻度认知障碍患者家庭功能与社会参与的中介效应[J]. 护理学报, 2023, 30(2): 60-66. |
| [6] | 吴秀强, 杨珍, 谢志勤, 杜韫雨, 杨丽娜, 陈诗涵. 护士道德困境干预的最佳证据总结[J]. 护理学报, 2023, 30(1): 47-52. |
| [7] | 李翔, 冯英璞, 孟晓静, 周立民, 霍晓冉, 许梦敏, 王昊. 脑卒中患者口腔健康管理的最佳证据总结[J]. 护理学报, 2022, 29(9): 36-41. |
| [8] | 陈芳芳, 叶灵晓, 胡雁, 郑亚华, 李娟, 楼钶楠, 刘梅, 胡康丽. 心脏起搏器术后患者早期运动康复的最佳证据总结[J]. 护理学报, 2022, 29(8): 53-58. |
| [9] | 朱金凤, 方莹莹, 王芳, 袁萍, 陈璐. 脑卒中幸存者运动依从性影响因素质性研究的Meta整合[J]. 护理学报, 2022, 29(8): 7-13. |
| [10] | 陈梦然, 王秀丽, 张叶, 张宇, 陈潇, 张鑫炎, 刘东玲. 沉浸式虚拟现实技术评估轻度认知障碍患者空间导航能力的研究进展[J]. 护理学报, 2022, 29(7): 40-43. |
| [11] | 邱昌翠, 于晓丽, 冯亚婷, 杨正雄, 徐婷, 朱晓萍. ICU营养支持患者再喂养综合征风险评估及预防干预研究[J]. 护理学报, 2022, 29(7): 57-62. |
| [12] | 蔡莹莹, 张俊峰, 蔡艾芳, 曾雅燕, 李玲, 黄琼珊, 刘兴玲. 以培养护士核心能力为导向的循证护理查房模式探索[J]. 护理学报, 2022, 29(6): 50-54. |
| [13] | 任鹏娜, 胡小懿, 汤爱玲, 张月, 许方蕾. 基于循证构建老年尿失禁患者出院准备护理方案[J]. 护理学报, 2022, 29(6): 7-10. |
| [14] | 曹咪, 张军, 岳少婷. 早产儿出院后神经发育支持性照护的最佳证据总结[J]. 护理学报, 2022, 29(6): 44-49. |
| [15] | 杨阳, 刘宁. 支气管哮喘患者冬病夏治穴位敷贴护理评估及管理的最佳证据总结[J]. 护理学报, 2022, 29(5): 15-21. |
|