癌症相关认知功能障碍评估和管理的证据总结

doi:10.16460/j.issn1008-9969.2022.03.052

摘要/Abstract

摘要： 目的对癌症相关认知功能障碍评估及管理的最佳证据进行总结及评价。方法检索JBI循证卫生保健国际合作中心图书馆、Cochrane、Up to Date、Web of Science、Embase、PubMed、美国国立指南数据库、美国国立综合癌症指南网、加拿大安大略注册护士协会、苏格兰学院指南网、国际指南协作组、英国国际临床优化研究所等数据库及指南网,汇总有关癌症相关认知功能障碍评估和管理的证据,文献类型包括系统评价、JBI证据总结、指南、专家共识及临床决策。由2名循证组成员独立对文献进行质量评价及证据提取。结果本研究共纳入13篇文献,其中指南2篇,JBI证据总结2篇,系统评价9篇。最佳证据包括评估（评估相关知识及评估工具）和管理（非药物及药物管理）共21条证据。结论本研究提供了癌症相关认知功能障碍预防及管理的实践参考,建议对在院患者进行癌症相关认知功能障碍的评估（评估相关知识及评估工具）和管理（非药物及药物管理）,并根据证据应用的可行性、适宜性、临床意义及有效性选择应用最佳证据,以提高患者生活质量。

Abstract: Objective To To summarize and evaluate the best evidence of the assessment and management of cancer-related cognitive dysfunction (CRCI or CRCD). Methods We searched databases including JBI Evidence-based Health Care International Cooperation Center Library, Cochrane, Up To Date, Web of Science, Embase, PubMed, National Guidelines Database, National Comprehensive Cancer Guidelines Network, Ontario Registered Nurses Association of Canada, Scottish College Guidelines Network, International Guidelines Collaboration Group, British International Institute of Clinical Optimization and other databases and guidelines networks, for evidence related to CRCI evaluation and management. Two researchers conducted independent quality evaluation, evidence extraction and summary of the literature. Results Thirteen articles were found in this study, including 2 guidelines, 2 JBI evidence summaries, and 9 systematic reviews. Twenty-one pieces of best evidence were summarized into two domains: assessment (assessment of related knowledge and assessment tools) and management (non-drug and drug management). Conclusion The evaluation and management of CRCI should be conducted with evidence-based thinking, and the relevant evidence of CRCI should be summarized to guide clinical medical staff to provide relevant guidance on CRCI.

Key words: cancer-related cognitive impairment, CRCI, cancer, assessment of cognitive function, evidence-based thinking

中图分类号:

R473.5

张营, 孟英涛, 尚美美, 杨德艳, 朱玉方, 王倩. 癌症相关认知功能障碍评估和管理的证据总结[J]. 护理学报, 2022, 29(3): 52-56.

ZHANG Ying, MENG Ying-tao, SHANG mei-mei, YANG De-yan, ZHU Yu-fang, WANG Qian. Best Evidence Summary of Assessment and Management of Cancer-related Cognitive Impairment[J]. Journal of Nursing, 2022, 29(3): 52-56.

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