認(rèn)知衰弱伴抑郁癥狀老年人多維康復(fù)管理的證據(jù)總結(jié)

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Evidence summary of multidimensional rehabilitation management of cognitive frailty in the elderly with depression

JIANG Ping，WANG Lin，ZHANG Lei，GAO Yunfeng，DUAN LiSchool of Nursing，Chengde Medical University，Hebei 067000 ChinaCorresponding Author DUAN Li，E-mail：dfhedianren@163.com

Abstract Objective：To provide a comprehensive review of the best available evidence on multidimensional rehabilitation management for cognitive frailty and depression in older adults，serving as a theoretical foundation for the development of precise interventions based on evidence-based concepts and the enhancement of industry standards and specifications related to cognitive frailty.Methods：Following the "6S" model，we systematically searched domestic and foreign databases and websites of various societies，and retrieval time was from the inception to September 2023.Two researchers independently assessed literature quality，determined levels of evidence and recommendations.Results：A total of 21 papers were included，involving 3 guidelines，2 expert consensus，1 clinical decision-making，4 systematic evaluations，2 class experimental studies，2 evidence summaries，and 7 randomized controlled trials.A total of 21 pieces of evidence were summarised from 8 themes，covering the effectiveness/necessity of multidimensional rehabilitation management，exercise rehabilitation，cognitive rehabilitation，nutritional rehabilitation，physiotherapy，medication rehabilitation，psychotherapy，and educational rehabilitation.Conclusion：By integrating the findings from this study with patient and caregiver needs，clinical practice can develop scientifically sound，comprehensive，and effective rehabilitation management programs that facilitate the translation and implementation of evidence-based practices.This approach may help delay or prevent adverse health outcomes.

Keywords cognitive frailty;depression;the elderly;rehabilitation management;evidence summary；evidence-based nursing

摘要 目的：匯總歸納認(rèn)知衰弱伴抑郁癥狀老年人多維康復(fù)管理的最佳證據(jù)，為后續(xù)基于循證理念精準(zhǔn)化干預(yù)方案構(gòu)建、認(rèn)知衰弱行業(yè)標(biāo)準(zhǔn)規(guī)范完善提供理論依據(jù)。（剩余12205字）