Summary of Best Evidence for Self-Management of Patients with Motor Dysfunction After Stroke postprint

Abstract: 　Background　Self-management meets the long-term rehabilitation needs of stroke patients and their families. However，there is a lack of relevant evidence，and there is no scientific and standardized self-management program in clinical practice. Objective To evaluate and summarize the best evidence of self-management in patients with motor dysfunction after stroke. Methods PubMed，Cochrane Library，Web of Science，Embase，CINAHL，CNKI，Wanfang Data，VIP，Chinese Biomedical Literature Database（CBM），American Heart Association/American Stroke Association（AHA/ASA），World Stroke Organization（WSO），Chinese Stroke Association（CSA），Guidelines International Network（GIN），Scottish Intercollegiate Guidelines Network（SIGN），National Guideline Clearinghouse（NGC），and Yimaitong were searched for relevant research evidence on self-management of patients with motor dysfunction after stroke from inception to July 2022，including guidelines，expert consensuses，systematic reviews，quasi-experimental studies，and randomized controlled studies. Two researchers independently evaluated the quality of the retrieved literature by using the 2017 version of the Appraisal of Guidelines for Research and Evaluation（AGREE Ⅱ ）and the 2016 version of the literature evaluation criteria developed by the Joanna Briggs Institute（JBI）Evidence-based Health Care Center，extracted evidence and graded the quality of the evidence to summarize the best evidence of self-management in patients with motor dysfunction after stroke. Results A total of 36 studies were involved，including 9 guidelines，4 expert consensuses，5 systematic reviews，5 quasi-experimental studies，and 13 randomized controlled studies，which were summarized in 6aspects of organization and management，assessment，exercise instruction，health education，psychological support，monitoring and follow-up. Conclusions　The evidence of self-management in patients with motor dysfunction after stroke summarized in this study contains6 aspects：organization and management，assessment，exercise instruction，health education，psychological support，monitoring and follow-up. Healthcare workers should select the best evidence based on the individual situation and needs of patients in the context of clinical practice，and provide personalized self-management interventions for patients，so as to improve their motor function and self#2;management ability，promoting the recovery of disease.