目的:采用德尔菲专家咨询法对系统检索与筛选的脑卒中后肩手综合征的最佳证据进行专家论证，形成符合临床情境的脑卒中后肩手综合征护理规范。方法:按照证据等级的高低分别系统地检索和筛选相关指南、证据总结、系统评价、原始研究、专家共识，并由2名接受过JBI循证培训的研究者分别采用AGREEⅡ、JBI针对系统评价、随机对照试验/类实验性研究和专家共识的质量评价工具对纳入的指南、系统评价、原始研究和专家共识进行质量评价，并对纳入文献进行分类汇总，筛选提取脑卒中后肩手综合征相关的推荐建议和结论。根据文献汇总结果形成脑卒中后肩手综合征临床护理规范初稿，采用德尔菲法，选择25名相关领域专家进行2轮专家咨询，对初稿内容进行论证。结果:本研究共纳入8篇指南、1篇证据总结、2篇系统评价、7篇原始研究、2篇专家共识。指南总体质量评价均为B级；1篇证据总结质量良好，为Grade B；2项系统评价的总体质量较低，7项原始研究的整体质量一般。脑卒中后肩手综合征临床护理规范初稿包括6项内容框架和29条推荐建议。进行2轮专家咨询，问卷回收率分别为89.28%和100%，专家权威系数分别为0.864和0.894，第2轮专家咨询中重要性的内容框架和推荐建议的Kendell'sn W分别为0.118 （n P<0.05）和0.188 （n P<0.001）。根据专家咨询的论证结果，形成脑卒中后肩手综合征临床护理规范，包括6项内容框架，共31条推荐建议。n 结论:脑卒中后肩手综合征临床护理规范基于现有最佳证据并进行专家论证，符合我国临床情境，能够更好地用于临床护理工作。“,”Objective:To form a nursing standard for shoulder-hand syndrome (SHS) after stroke in accordance with the clinical situation by expert argumentation in the best evidence systematically retrieved and screened for SHS after stroke with the method of Delphi expert consultation.Methods:According to the level of evidence, we systematically retrieved and screened relevant guidelines, evidence summary, systematic reviews, original studies and expert consensus. Two researchers who had received Joanna Briggs Institute (JBI) evidence-based training used the Appraisal of Guidelines for Research & Evaluation (AGREE) Ⅱ, JBI quality evaluation tools for systematic reviews, randomized controlled trials/experimental studies and expert consensus to evaluate the included guidelines, systematic reviews, original studies and expert consensus. The included literature was classified and summarized, and recommendations and conclusions related to SHS after stroke were screened and extracted. According to the results of the literature summary, the first draft of the clinical nursing standard for SHS after stroke was formed. Using the Delphi method, 25 experts in related fields were selected for two rounds of expert consultation to demonstrate the contents of the first draft.Results:This study included 8 guidelines including 1 evidence summary, 2 systematic reviews, 7 original studies and 2 expert consensus. The overall quality of the guidelines was Grade B; one piece of evidence summary was of good quality and was Grade B; the overall quality of two systematic reviews was low, and the overall quality of seven original studies was average. The first draft of the clinical nursing standard for SHS after stroke included 6 content frameworks and 29 recommendations. Two rounds of expert consultation were conducted, the questionnaire response rates were 89.28% and 100%, and the expert authority coefficients were 0.864 and 0.894, respectively. The Kendell'sn W of important content framework and recommended in the second round of expert consultation were 0.118 (n P<0.05) and 0.188 (n P<0.001) . According to the results of the expert consultation, the clinical nursing standard for SHS after stroke was formed, including 6 content frameworks and a total of 31 recommendations.n Conclusions:The clinical nursing standard for SHS after stroke is based on the best available evidence and expert argumentation, which is in line with the clinical situation in my country and can be sed in clinical nursing work.