Early mobilization safety and effectiveness in stroke patients: an overview of systematic reviews
10.3760/cma.j.cn115682-20230817-00564
- VernacularTitle:脑卒中患者早期活动安全性及有效性的系统评价再评价
- Author:
Yuting DAI
1
;
Qing WANG
;
Kangling JI
;
Guiling XU
;
Min ZHANG
;
Huiling SHI
Author Information
1. 南京大学医学院附属鼓楼医院神经内科，南京 210008
- Keywords:
Stroke;
Early ambulation;
Overview of systematic review;
Evidence-based nursing
- From:
Chinese Journal of Modern Nursing
2024;30(9):1151-1158
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To conduct an overview of systematic reviews on the safety and effectiveness of early mobilization in stroke patients.Methods:Systematic reviews of early mobilization in stroke were electronically searched on China National Knowledge Infrastructure, WanFang Data, VIP, Chinese Biology Medicine, Cochrane Library, PubMed, Web of Science, CINAHL, Embase, and the Joanna Briggs Institute Evidence-Based Health Care Center Database. The search period was from database establishment to May 2023. Two researchers independently conducted literature screening, data extraction, and methodological quality evaluation of the included literature, as well as evidence summary and grading.Results:A total of 10 systematic reviews were included. The methodological quality evaluation showed that one article was of medium quality, two articles were of low quality, and seven articles were of extremely low quality. The evidence quality evaluation indicated that there were three pieces of high-quality evidence, 17 pieces of medium-quality evidence, 21 pieces of low-quality evidence, and 17 pieces of extremely low-quality evidence.Conclusions:Early mobilization is beneficial for improving the daily living ability and limb motor function of stroke patients, reducing the incidence of complications, shortening hospital stay, and enhancing their walking ability in the short term. However, the quality of evidence in the systematic review is relatively low, and further improvement is needed in the research design of early mobilization intervention measures to provide strong support for clinical practice.
