摘要
目的:检索刮痧在颈肩腰痛患者中应用的相关证据,并进行证据评价与总结。方法:依据PIPOST模式明确循证问题,检索UpToDate、BMJ Clinical Evidence、国际指南协作网、加拿大安大略医学会、苏格兰院际指南网、新西兰指南协作组、世界卫生组织、美国医师学会俱乐部、BMJ Best Practice、美国国家指南库、乔安娜布里格斯研究所循证卫生保健知识库、Nursing Consult、中国临床指南文库、Cochrane Library、Embase、PubMed、CINAHL、Web of Science、医脉通、中国知网、中国生物医学文献服务系统。检索时限为2012年3月1日—2022年4月30日。由4名研究者独立对文献进行质量评价,2名研究者对纳入文献进行证据总结。结果:最终纳入9篇文献,包括1篇指南、2篇系统评价、6篇随机对照试验。提取刮痧改善患者颈肩腰痛的证据20条,包括刮痧前准备、刮痧干预方法、刮痧程度、注意事项、禁忌证、异常情况处理6个方面。结论:本研究总结的关于刮痧疗法改善患者颈肩腰痛的最佳证据,可提高医护人员操作实践水平,为改善护理结局提供借鉴。
Objective To retrieve the evidence of scraping operation in patients with neck,shoulder and low back pain,and evaluate and summarize the evidence.Methods Identified evidence-based problems based on the population,intervention,professional,outcome,setting and type of evidence(PIPOST)model,and searched UpToDate,British Medical Journal(BMJ)Clinical Evidence,Guidelines International Network,Registered Nurses'Association of Ontario,Scottish Intercollegiate Guidelines Network,New Zealand Guidelines Group,World Health Organization,American College of Physicians Club,BMJ Best Practice,Agency for Healthcare Research and Quality,Joanna Briggs Institute Evidence-Based Health Care Center Database,Nursing Consult,China Guideline Clearinghouse,Cochrane Library,Embase,PubMed,CINAHL,Web of Science,Medlive,China National Knowledge Infrastructure and SinoMed.The retrieval time limit was from March 1,2012 to April 30,2022.Four researchers independently evaluated the quality of the article,and two researchers summarized the evidence of the included article.Results A total of 9 articles were included,including 1 guideline,2 systematic reviews,and 6 randomized controlled trials.A total of 20 pieces of scraping application evidence were extracted from patients with neck,shoulder and low back pain,including 6 aspects,involving preparation before scraping,scraping intervention methods,scraping degree,precautions,contraindications,and handling of abnormal conditions.Conclusions The best evidence of scraping therapy to improve patients'neck,shoulder and low back pain summarized in this study can provide a reference for improving the operation practice of medical and nursing staffs and nursing outcomes.
作者
王会玲
马影蕊
孔德昭
许颖
李佳荣
李娜
段晓莹
Wang Huiling;Ma Yingrui;Kong Dezhao;Xu Ying;Li Jiarong;Li Na;Duan Xiaoying(School of Nursing,Liaoning University of Traditional Chinese Medicine,Shenyang 110847,China;Nursing Department,the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,China;Evidence-based Center,the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,China;Postpartum Rehabilitation Department,the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,China;Intensive Care Unit,the First Affiliated Hospital of Dalian Medical University,Dalian 116011,China;Outpatient Department,the Second Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110034,China)
出处
《中华现代护理杂志》
2023年第9期1170-1175,共6页
Chinese Journal of Modern Nursing
关键词
循证护理
刮痧疗法
颈肩腰痛
护理实践
证据总结
Evidence-based nursing
Scrapping therapy
Neck,shoulder and low back pain
Nursing practice
Evidence summary
作者简介
通信作者:马影蕊,Email:18102458111@163.com。
