摘要
目的总结HIV/AIDS患者疲乏相关症状群管理的最佳证据。方法根据"6S"模型自上而下依次检索BMJ Best Practice、UpToDate、澳大利亚乔安娜布里格斯研究所循证卫生保健中心数据库、美国国家指南库、英国国家卫生与临床优化研究所、医脉通、联合国艾滋病规划署、Cochrane Library、PubMed、Embase、中国知网、万方数据库、中国生物医学文献数据库等数据库和网站中有关HIV/AIDS患者疲乏相关症状群管理的文献,包括临床决策、指南、专家共识、系统评价、Meta分析、证据总结和随机对照试验。检索时限为2017年1月1日至2023年7月30日。由2名研究人员独立采用相应的文献质量评价工具评价纳入文献的方法学质量,并提取和汇总HIV/AIDS患者疲乏相关症状群管理的最佳证据。结果共纳入20篇文献,包括7篇临床决策、3篇指南、2篇证据总结、1篇专家共识、3篇系统评价和4篇随机对照试验。最终从疲乏管理、衰弱管理、性功能障碍管理及睡眠障碍管理4个方面汇总了34条证据。结论本研究总结了HIV/AIDS患者疲乏相关症状群管理的最佳证据,医护人员需结合临床情境,有针对性地选择、应用证据。
ObjectiveTo summarize the best evidence for the management of fatigue-related symptom clusters in HIV/AIDS patients.MethodsAccording to the"6S"model,clinical decisions,guidelines,expert consensus,systematic reviews,Meta-analysis,evidence summary,and randomized controlled trials on the management of fatigue-related symptom clusters of HIV/AIDS patients were searched from top to bottom in BMJ Best Practice,UpToDate,Joanna Briggs Institute Evidence-Based Health Care Center Database,Agency for Healthcare Research and Quality,National Institute for Health and Clinical Excellence,Medlive,Joint United Nations Programme on HIV/AIDS,Cochrane Library,PubMed,Embase,China National Knowledge Infrastructure,WanFang data,China Biology Medicine disc and other databases and websites.The search period was from January 1,2017,to July 30,2023.Two researchers independently used corresponding quality evaluation tools to evaluate the methodological quality of the included literature.They extracted and summarized the best evidence for the management of fatigue-related symptom clusters in HIV/AIDS patients.ResultsA total of 20 articles were included,including seven clinical decisions,three guidelines,two evidence summaries,one expert consensus,three systematic reviews,and four randomized controlled trials.Thirty-four pieces of evidence were summarized from four aspects:fatigue management,frailty management,sexual dysfunction management,and sleep disorder management.ConclusionsThis study summarizes the best evidence for the management of fatigue-related symptom clusters in HIV/AIDS patients.Medical and nursing staff must select and apply the evidence in a targeted manner based on clinical situations.
作者
徐丹
张江辉
申兰
杜晓丹
邱业银
孙燕侠
Xu Dan;Zhang Jianghui;Shen Lan;Du Xiaodan;Qiu Yeyin;Sun Yanxia(School of Nursing,Zhuhai Campus of Zunyi Medical University,Zhuhai 519040,China;Department of Infectious Diseases,the Fifth Affiliated(Zhuhai)Hospital of Zunyi Medical University,Zhuhai 519100,China;Department of Physical Examination,the Fifth Affiliated(Zhuhai)Hospital of Zunyi Medical University,Zhuhai 519100,China;Emergency Department,the Fifth Affiliated(Zhuhai)Hospital of Zunyi Medical University,Zhuhai 519100,China;Pediatric Proctology Department,the Fifth Affiliated(Zhuhai)Hospital of Zunyi Medical University,Zhuhai 519100,China)
出处
《中华现代护理杂志》
2024年第31期4208-4215,共8页
Chinese Journal of Modern Nursing
基金
2024年度珠海市卫生医学科研项目(2420009000034)。
关键词
获得性免疫缺陷综合征
疲乏
症状群
管理
证据总结
Acquired immunodeficiency syndrome
Fatigue
Syndrome
Management
Evidence summary
作者简介
通信作者:张江辉,Email:zhang.jiang.hui@163.com。
