目的：通过总结分析老年脑卒中后失语患者评估和康复护理的最佳证据，从而为临床实践提供相关依据。方法：系统检索计算机决策系统、指南网站、相关专业协会网站以及各种数据库中关于老年脑卒中失语患者的准确评估和有效康复护理的临床决策、最佳实践、指南、证据总结、系统评价和专家共识等。检索时限为2013年1月1日至2023年5月31日。结果：经两名研究者质量评价后纳入15篇文献，其中临床决策1篇、最佳实践2篇、指南4篇、证据总结2篇、系统评价4篇和专家共识2篇。最终从培训、评估、护理干预3个方面总结出27条最佳证据。结论：本研究总结的老年脑卒中失语患者评估和康复护理的最佳证据能够为老年失语患者的管理实践提供依据，但是在应用这些证据时，仍然须考虑现阶段的临床情景、患者及其家属的自身状况等，以便为患者选择具有个性化的证据。

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