护理学报 ›› 2020, Vol. 27 ›› Issue (2): 48-52.doi: 10.16460/j.issn1008-9969.2020.02.048
癌症患者化疗相关性便秘评估与管理最佳证据总结
姚小云1, 陈红宇2a, 胡君娥2b, 周雪果1, 何文斌1, 严妍2b, 张凤琴2a, 陈瑜3
- 1.长江大学医学部,湖北 荆州 434023;
2.荆州市中心医院 a.护理部;b.肿瘤科,湖北 荆州 434020;
3.复旦大学护理学院,上海200032
摘要： 目的 检索、评价和总结癌症患者化疗相关性便秘评估与管理的最佳证据。方法 用PIPOST模型构建循证问题,计算机检索有关癌症患者化疗相关性便秘评估与管理的证据,筛选符合纳入标准的文献,2名研究员独立进行文献质量评价、证据提取与综合。结果 共纳入8篇文献,包括指南4篇、证据总结3篇、系统评价1篇,最终总结24条最佳证据,包括便秘的评估与监测、健康指导、泻药管理、中医治疗、组织政策5个方面。结论 结合医疗机构的临床环境、患者意愿、价值观等,分析医护人员应用证据的促进因素及阻碍因素,进行有针对性的证据选择,以科学的护理方法解决癌症患者化疗相关性便秘的问题,从而提升护理质量。
中图分类号:
- R473.73
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