主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2026, Vol. 26 ›› Issue (4): 577-582.doi: 10.3969/j.issn.1672-1756.2026.04.018

• 循证护理 • 上一篇    下一篇

心房颤动患者认知衰弱干预的证据总结

张一迪 张秀杰 赵晶晶 周艳丽 于驰 王明杰   

  1. 大连医科大学附属第一医院神经内科,116011 辽宁省大连市(张一迪,于驰);心内科(张秀杰,赵晶晶,周艳丽);大连医科大学护理学院(张秀杰);大连理工大学附属中心医院护理部(王明杰)
  • 出版日期:2026-04-15 发布日期:2026-04-15
  • 通讯作者: 张秀杰,博士,副主任护师,护理学院副院长,E-mail:zhangxiujie@firsthosp-dmu.com
  • 作者简介:张一迪,硕士在读,主管护师
  • 基金资助:
    中国博士后科学基金(2023MD734243);辽宁省自然科学基金(2022-BS-255)

Evidence summary for cognitive frailty interventions in patients with atrial fibrillation

ZHANG Yidi, ZHANG Xiujie, ZHAO Jingjing, ZHOU Yanli, YU Chi, WANG Mingjie   

  1. Department of Neurology, The First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning province, 116011, China
  • Online:2026-04-15 Published:2026-04-15
  • Contact: E-mail:zhangxiujie@firsthosp-dmu.com

摘要: 目的:分类整理心房颤动患者认知衰弱干预的相关证据,为临床实践提供参考。方法:根据“6S”模型,自上而下检索中英文数据库中关于心房颤动患者认知衰弱干预的文献资料,检索时限为建库至2025年5月10日。对纳入文献进行质量评价,提取并汇总证据。结果:共纳入13篇文献,其中临床决策1篇、指南2篇、专家共识3篇、系统评价1篇、随机对照试验6篇,共总结出21条证据,包括药物与介入治疗、认知功能干预、风险监测与评估、运动干预、营养干预、共病与并发症干预、家庭支持以及互联网支持8个核心主题。结论:本研究总结了心房颤动患者认知衰弱干预的证据,可为临床医护人员提供科学的循证依据。

关键词: 心房颤动;认知衰弱;干预措施;循证护理;证据总结

Abstract: Objective: To classify and organize the relevant evidence on the intervention of cognitive frailty in patients with atrial fibrillation, and provide a reference for clinical practice. Methods: According to the "6S" pyramid, we searched for literature on the intervention of cognitive frailty in patients with atrial fibrillation in Chinese and English databases from the establishment of the database to May 10, 2025. The quality of the included literature was evaluated, and the evidence was extracted and summarized. Results: A total of 13 articles were included, including 1 clinical decision, 2 guidelines, 3 expert consensus, 1 systematic reviews, and 6 randomized controlled studies. There were 21 pieces of evidence in total, covering 8 core themes: drug and interventional therapy, cognitive training, risk monitoring and assessment, exercise intervention, nutritional intervention, comorbidities and complications, family support, and internet support. Conclusion: This study summarizes the evidence on the intervention of cognitive frailty in patients with atrial fibrillation, providing scientific evidence-based basis for clinical medical staff.

Key words: atrial fibrillation; cognitive frailty; intervention measure; evidence-based nursing; evidence summary

中图分类号:  R47;R197