Clinical practice guidelines for the prevention and management of frailty: A systematic review
Clinical practice guidelines for the prevention and management of frailty: A systematic review
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预防和管理衰弱的临床实践指南：系统评价
DOI：
10.1111/jan.15067
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发表时间：
2021
影响因子：
3.8
通讯作者：
Li Chen
中科院分区：
文献类型：
--
作者：
Lufang Zheng;Guichen Li;Yiming Qiu;Cong Wang;Chunyan Wang;Li Chen
目的系统地寻找以预防和管理虚弱为重点的临床实践指南，评估其方法学质量并综合共识建议。设计系统评价。数据来源指南网站，系统检索了截至2020年11月4日的相关专业协会网站和电子数据库。审查方法我们使用评估方法评估了合格指南的方法学质量。研究和评价指导方针II（AGREE II）。两名审查员合成的共识建议提出的至少两个guidelines.ResultsEight指南符合资格标准，并被列入审查。六个领域的平均得分如下：“范围和目的”领域得分为88.0%，“表述清晰度”领域得分为81.9%，“利益相关者参与”领域得分为63.4%，“编辑独立性”领域得分为62.2%，“开发的严谨性”领域得分为61.1%，“适用性”领域得分为57.8%。总之，我们综合了23个建议，为预防和管理的弱点，是一致的包括guidelines.ConclusionsThe临床实践指南的数量为预防和管理的弱点是有限的。现有指南的方法学质量需要改进。综合研究结果，为脆弱性的预防和管理提供了一个直观、方便和总结性的参考资源。值得注意的是，在所包含的指南中描述的建议需要额外的细节。影响尽管虚弱的预防和管理是迫切的，但目前缺乏指导这些过程的证据，特别是在预防方面。现有准则的方法质量不够，准则中所述的建议需要更多的细节。因此，本指南的使用者，尤其是护士，在使用时应根据具体情况慎重决定。护士在为指南质量的提高提供更多临床证据方面也起着关键作用。
AimsTo systematically search for clinical practice guidelines focusing on the prevention and management of frailty, to evaluate their methodological quality and to synthesize the consensus recommendations.DesignA systematic review.Data SourcesGuideline websites, related professional association websites and electronic databases were systematically searched through 4 November 2020.Review MethodsWe evaluated the methodological quality of the eligible guidelines using the Appraisal of Guidelines Research and Evaluation II (AGREE II). Two reviewers synthesized the consensus recommendations proposed by at least two guidelines.ResultsEight guidelines met the eligibility criteria and were included in the review. The mean scores of the six domains were as follows: the ‘scope and purpose’ domain scored 88.0%, the ‘clarity of presentation’ domain scored 81.9%, the ‘stakeholder involvement’ domain scored 63.4%, the ‘editorial independence’ domain scored 62.2%, the ‘rigour of development’ domain scored 61.1% and the ‘applicability’ domain scored 57.8%. In total, we synthesized 23 recommendations for the prevention and management of frailty that are consistent among the included guidelines.ConclusionsThe number of clinical practice guidelines for the prevention and management of frailty is limited. The methodological quality of existing guidelines needs to be improved. Our synthesized findings provide an intuitive, convenient and summative reference resource for frailty prevention and management. It’ is worth noting that recommendations described in the included guidelines require additional detail.ImpactAlthough the prevention and management of frailty is urgent, there is currently a lack of evidences guiding these processes, especially in the prevention. The methodological quality of existing guidelines is insufficient, and the recommendations described in the guidelines require additional detail. Therefore, users of these guidelines, especially nurses, should make a careful decision according to the specific situation when using. Nurses also have a key role in providing more clinical evidences for the improvement of the quality of the guidelines.