摘要
目的检索、评价和总结孕期及产后患者压力性尿失禁预防及管理的相关证据,为临床医护人员规范化管理提供依据。方法系统检索国内外关于预防及管理孕期及产后患者压力性尿失禁的所有证据,包括临床决策、指南、专家共识和系统评价。检索时限为建库至2022年3月20日。由2名研究者独立进行文献筛选和质量评价,并对纳入文献进行证据提取及汇总。结果共纳入10篇文献,临床决策1篇、指南3篇、系统评价6篇。从危险因素、风险评估、干预措施、教育培训、随访5个方面汇总了29条最佳证据。结论本研究总结了孕期及产后患者压力性尿失禁预防及管理的最佳证据,临床工作者应参考最佳证据并结合患者情况,进行疾病的规范化管理。
Objective To retrieve,evaluate and summarize the best evidence for the prevention and management of stress urinary incontinence in pregnant and postpartum patients,and provide a reference for the standardized management of clinical medical staff.Methods All domestic and international evidences on the prevention and management of stress urinary incontinence during pregnancy and postpartum patients were systematically searched,including clinical decisions,guidelines,expert consensus and systematic reviews.The retrieval time limit was from the establishment of the database to March 20,2022.Two researchers independently conducted literature screening and quality evaluation,and extracted and summarized the included literature.Results A total of 10 articles were included,including 1 clinical decision,3 guidelines and 6 systematic reviews.A total of 29 pieces of best evidence were summarized from five aspects,including risk factors,risk assessment,intervention measures,education and training and follow-up.Conclusions This study summarizes the best evidence for the prevention and management of stress urinary incontinence in pregnant and postpartum patients.Clinicians should refer to the best evidence and combine the patient's own condition to conduct standardized management of the disease.
作者
杨卓欣
李桂蓉
任赟虹
喻琳
汪先花
Yang Zhuoxin;Li Guirong;Ren Yunhong;Yu Lin;Wang Xianhua(School of Nursing,Chengdu Medical College,Chengdu 610500,China;Nursing Department,Mianyang Central Hospital,Mianyang 621000,China)
出处
《中华现代护理杂志》
2023年第25期3416-3422,共7页
Chinese Journal of Modern Nursing
基金
中华医学会杂志社2021—2022年护理学科研究课题(CMAPH-NRG2021018)
绵阳市社科联课题(MY2022ZC057)。
关键词
尿失禁
压力性
孕期
产后
预防
证据总结
Urinary incontinence,stress
Pregnancy
Postpartum
Prevention
Summary of evidence
作者简介
通信作者:李桂蓉,Email:384895848@qq.com。
