一个系统的审查和评估中风后抑郁症的临床实践指南
James Graham Cross1, Brandon R May2, Peter Q M Mai2
1Creighton University School of Medicine, Phoenix, Arizona, USA.
概括
这项研究评估了中风后抑郁症管理的临床实践指南. 虽然一些指南得分很高,但适用性和利益相关方参与等领域需要改进,以获得更好的中风后抑郁症护理.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 基于证据的医学基于证据的医学.
背景情况:
- 脑卒中后抑郁症 (PSD) 显著影响中风患者的康复.
- 临床实践指南 (CPG) 建议选择性血清素再吸收抑制剂和心理治疗PSD.
- 目前还没有对现有的PSDCPG进行质量评估.
研究的目的:
- 批判性地评估针对中风后抑郁症管理的临床实践指南的开发和质量.
- 确定现有PSD指南中的优点和弱点.
主要方法:
- 一个系统的文献审查和手动的谷歌搜索确定了相关的指南.
- 选了1236条指导方针,其中27条被考虑,最终包括7条.
- 研究和评估指南评估 (AGREE) 工具被用于质量评估.
主要成果:
- 通过三个指导方针,实现了这一目标.
- 高的高的高的高的高的
- 质量值 (≥70%在≥5个领域).
- 获得最高分的领域包括"编辑独立" (91.36%),"范围和目的" (76.98%),和"陈述清晰度" (73.81%).
- 最低得分的领域是"利益相关者参与" (43.90%),"发展的严格性" (54.02%) 和"适用性" (58.73%).
结论:
- 目前PSD的CPG在开发和质量方面存在差异.
- 未来的指导方针开发应该优先考虑"利益相关者参与"",发展的严格性"和"适用性".
- 改进这些领域可以提高PSD管理准则的实际实用性和影响.
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