护理研究2026，Vol.40Issue(7)：1119-1129,11.DOI:10.12102/j.issn.1009-6493.2026.07.008
基于COSMIN指南的卒中后认知障碍评估工具的系统评价
Systematic review of post-stroke cognitive impairment assessment tools based on COSMIN guidelines
摘要
Abstract
Objective:Based on the consensus-based standards for the selection of health measurement instruments(COSMIN)guidelines,this study systematically evaluated the methodological quality and measurement properties of assessment tools for post-stroke cognitive impairment(PSCI),aiming to identify high-quality evaluation tools.Methods:A computerized search was conducted in PubMed,Web of Science,MedLine,CINAHL,EMbase,Cochrane Library,Scopus,CNKI,WanFang Database,VIP,and the China Biology Medicine(CBM)database for literature related to the psychometric evaluation of PSCI assessment tools.The retrieval period spanned from the establishment of the database to March 6,2025.Two researchers independently screened the literature and extracted data.Methodological risk of bias and quality of measurement properties were assessed using the COSMIN guidelines.The GRADE evidence grading system was applied to classify evidence levels,ultimately formulating recommendation levels.Results:A total of 22 studies were included,covering 10 PSCI assessment tools:the Oxford Cognitive Screen(OCS),Mini-Mental State Examination(MMSE),Cognitive Assessment Scale for Post-Stroke Patients(CASP),Birmingham Cognitive Screen(BCoS),Montreal Cognitive Assessment(MoCA),National Institute of Neurological Disorders and Stroke-Canadian Stroke Network(NINDS-CSN),Brief Assessment of Impaired Cognition(BASIC),Mild Vascular Cognitive Impairment(MVCI)assessment tool,Barrow Neurological Institute Screen for Higher Cerebral Functions(BNIS)and Telephone Interview for Cognitive Status-Modified(TICS-M).MMSE received grade A recommendation,while the remaining 9 tools were classified as grade B recommendations.Conclusions:The MMSE was classified as a grade A recommendation and could be temporarily recommended until better evidence emerges.However,its methodological quality requires improvement,and its measurement properties need further validation.关键词
脑卒中/认知障碍/评估工具/测量学属性/COSMIN指南/系统评价Key words
stroke/cognitive impairment/assessment tools/measurement properties/COSMIN guideline/systematic review引用本文复制引用
张露文,刘芳丽,刘京辉,郑霞,关锐..基于COSMIN指南的卒中后认知障碍评估工具的系统评价[J].护理研究,2026,40(7):1119-1129,11.基金项目
河南省二〇二五年科技攻关项目,编号:252102311067 （）
