School of Nursing, Jilin University, Changchun, China.
Senior Officials Inpatient Ward, First Hospital of Jilin University, Changchun, China.
J Adv Nurs. 2022 Mar;78(3):709-721. doi: 10.1111/jan.15067. Epub 2021 Oct 7.
To 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.
A systematic review.
Guideline websites, related professional association websites and electronic databases were systematically searched through 4 November 2020.
We 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.
Eight 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.
The 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.
Although 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.
系统检索针对虚弱预防和管理的临床实践指南，评估其方法学质量，并综合共识推荐意见。
系统综述。
通过 2020 年 11 月 4 日对指南网站、相关专业协会网站和电子数据库进行系统检索。
我们使用评估指南研究与评估 II（AGREE II）评估合格指南的方法学质量。两名评审员综合了至少两条指南提出的共识推荐意见。
有 8 条指南符合纳入标准并纳入本综述。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%，“制定严谨性”领域得分为 61.1%，“适用性”领域得分为 57.8%。总共，我们综合了 23 条虚弱预防和管理的推荐意见，这些意见在纳入的指南中是一致的。
虚弱预防和管理的临床实践指南数量有限。现有指南的方法学质量需要提高。我们综合的发现为虚弱预防和管理提供了直观、方便和综合的参考资源。值得注意的是，纳入指南中描述的建议需要更多细节。
尽管虚弱的预防和管理迫在眉睫，但目前缺乏指导这些过程的证据，特别是在预防方面。现有指南的方法学质量不足，指南中描述的建议需要更多细节。因此，使用这些指南的用户，特别是护士，在使用时应根据具体情况谨慎决定。护士在为提高指南质量提供更多临床证据方面也起着关键作用。
