Best evidence summary of cognitive management of mild cognitive impairment in the elderly patients
10.3760/cma.j.cn115682-20220613-02839
- VernacularTitle:轻度认知障碍老年患者认知管理的最佳证据总结
- Author:
Xiaoyan LIU
1
;
Yi QIN
;
Xiaoling ZHU
;
Juan WU
;
Rui ZHAO
;
Yan SONG
;
Chi SUN
;
Hua ZHANG
;
Min SUN
Author Information
1. 南通大学附属医院老年医学科，南通 226001
- Keywords:
Aged;
Mild cognitive impairment;
Evidence summary
- From:
Chinese Journal of Modern Nursing
2022;28(36):5027-5035
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To search, evaluate and summarize the best evidence of cognitive management of mild cognitive impairment (MCI) in the elderly patients, so as to provide evidence-based basis for nursing intervention and care.Methods:The article on the management of elderly MCI was systematically searched in UpToDate, National Institute for Health and Care Excellence, National Guideline Clearinghouse, Chinese Guideline Network, Joanna Briggs Institute Evidence-Based Health Care Center in Australia, Registered Nurses' Association of Ontario in Canada, Ovid JBI, Wiley, PubMed, WanFang Data, China National Knowledge Infrastructure, and VIP, including the latest clinical practice guideline, systematic review, expert consensus, and thematic evidence summary, randomized controlled trial and quasi experimental study. The retrieval time limit was from January 1, 2012 to December 31, 2021. Two elderly nursing researchers independently evaluated the article quality and extracted the best evidence.Results:A total of 14 articles were included, involving 3 clinical practice guidelines, 3 expert consensus, 3 systematic reviews, 1 thematic evidence summary, 3 randomized controlled trials, and 1 quasi experimental study. According to the clinical situation and the comprehensive management system of community-outpatient screening-diagnosis-comprehensive intervention-returning to the community, a total of 33 pieces of evidence were formed in 7 aspects, including evaluation object and opportunity, evaluation content and screening tools, disease diagnosis and management, Cognitive Training Nursing Clinic construction, cognitive training and intervention methods, care support management, and effect evaluation.Conclusions:This article summarizes the best evidence of cognitive management of the elderly with MCI, and provides evidence-based basis for medical and nursing staff to carry out targeted cognitive management.
