摘要
目的 检索、评价和汇总宫颈癌根治术后患者下肢淋巴水肿自我护理的最佳证据,为临床护理工作提供参考。方法 按照“6S”金字塔模型系统检索国内外数据库关于宫颈癌根治术后患者下肢淋巴水肿自我护理的证据,包括临床决策、指南、证据汇总、推荐实践、系统评价及专家共识。检索时限从建库至2022年1月。结果 共纳入11篇文献,包括临床决策1篇、指南3篇、系统评价3篇、证据总结1篇、专家共识3篇。证据主要涉及危险因素、自我护理措施、健康教育与随访3个方面,包含10个亚主题共23条证据。结论 临床医护人员应将临床具体情景与循证医学证据相结合,选择有针对性的最佳证据,为下肢淋巴水肿患者提供科学的护理指导,提升患者自我护理能力。
Objective To retrieve,evaluate and summarize the best evidence on self-care of lower-limb lymphedema after surgery for cervical cancer,so as to provide reference for clinical nursing practice.Methods Following the 6S evidence pyramid model,electro-nic databases or websites were searched for literature regarding self-care of lower-limb lymphedema after surgical treatment of ce-rvical cancer from database inception to January 2022.The literature included computerised decision support systems report,guideline,evidence summary,clinical practice recommendations statement,systematic review,and expert consensus statement.Results A total of 11 publications were eligible,including 1 decision support system report,3 guidelines,3 systematic reviews,1 evidence summary and 3 expert consensus statement reports.Twenty-three pieces of evidence were identified,embracing three aspects(risk factors,self-care measures,health education and follow-up)and ten subthemes.Conclusion Clinical medical staff should consider specific clinical situation to select the best evidence,and provide scientific nursing guidance for patients with lower-limb lymphe-dema,thus to improve their self-care ability.
作者
王焕焕
吕永利
王培红
耿力
Wang Huanhuan;Lv Yongli;Wang Peihong;Geng Li(Department of Gynecology and Obstetrics,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)
出处
《护理学杂志》
CSCD
北大核心
2023年第9期91-94,102,共5页
Journal of Nursing Science
基金
湖北省自然科学基金资助项目(2021CFB589)
湖北省卫健委科研项目(面上项目)(WJ2021M233)。
关键词
宫颈癌
下肢淋巴水肿
自我护理
危险因素
健康教育
最佳证据总结
循证护理
cervical cancer
lower-limb lymphedema
self-care
risk factor
health education
evidence summary
evidence-based nursing
作者简介
王焕焕:女,硕士,主管护师;通讯作者:吕永利,371220983@qq.com。
