ISSN 2096-7446 CN 10-1655/R
主管:中国科协技术协会
主办:中华护理学会

中华急危重症护理杂志 ›› 2023, Vol. 4 ›› Issue (7): 653-659.doi: 10.3761/j.issn.2096-7446.2023.07.017

• 证据综合与应用 • 上一篇    下一篇

癌性疼痛患者出院随访的最佳证据总结

李鹤 卢芳燕 章梅云 陈佳萍 施晓兰   

  • 出版日期:2023-07-10 发布日期:2023-07-11

Evidence summary for discharge follow-up of patients with cancer pain

LI He,LU Fangyan,ZHANG Meiyun,CHEN Jiaping,SHI Xiaolan   

  • Online:2023-07-10 Published:2023-07-11

摘要:

目的  总结癌性疼痛患者出院随访的最佳证据,为临床实践提供参考。方法  系统检索UpToDate、Cochrane Library、Embase、PubMed、美国国立指南网、英国国家卫生与临床优化研究所、国际指南协作网、苏格兰院际指南网、加拿大安大略省注册护士协会、美国国立综合癌症网络和欧洲肿瘤内科学会、中国知网、万方数据库、维普数据库和中国生物医学文献数据库中关于癌性疼痛患者出院随访的所有证据,包括临床决策、指南、专家共识、团体标准、证据总结、系统评价。检索时限为建库至2023年4月。由2名研究员独立进行文献评价,对符合标准的文献进行资料提取。结果  最终纳入10篇文献,包括临床决策1篇、指南1篇、系统评价3篇、政府报告1篇、团体标准1篇、专家共识3篇。从随访原则、随访人员和对象、随访时间和频率、随访方式、随访内容、随访记录、随访终止、质量控制共8个方面汇总25条最佳证据。结论  医护人员应在随访机构完善的制度和流程管理下,运用循证的方法结合临床情境及患者意愿,形成有效随访策略,从而提高癌性疼痛患者疼痛自我管理能力,提高生活质量。

关键词: 癌性疼痛, 出院后医疗, 随访研究, 循证护理学

Abstract: Objective To summarize the best evidence for discharge follow-up of patients with cancer pain,and to provide reference for clinical practice. Methods We searched UpToDate,Cochrane Library,Embase,PubMed, National Guideline Clearinghouse(NGC),National Institute for Health and Care Excellence(NICE),Guidelines Inter- national Network(GIN),Scottish Intercollegiate Guidelines Network(SIGN),Registered Nurses’ Association of Ontario (RNAO),National Comprehensive Cancer Network(NCCN),European Society for Medical Oncology(ESMO),CNKI, Wanfang Data,China Biology Medicine disc(CBM) and the VIP Database(VIP) for all evidence of discharge follow- up of patients in cancer pain,including clinical decision-making,guidelines,expert consensus,group standards, evidence summary,systematic reviews. The retrieval period was from the establishment of the database to April 2023. Two researchers independently evaluated the literatures and extracted the literatures that met the standards. Results Ten literature were finally included,including one clinical decision,one guideline,three systematic reviews,one government report,one group standard and three expert consensuses. Finally 25 items of best evidences were summarized and categorized into 8 dimensions:principles of follow-up,follow-up personnel and subjects,follow-up time and frequency,follow-up methods,follow-up contents,follow-up records,follow-up termination,and quality control. Conclusion Medical staff should be under the perfect system and process management in the follow-up ins- titutions,using evidence-based method combined the actual clinical situation and willingness of patients,and formed an effective follow-up strategy,thus improve the patients’ pain self-management ability,improve the quality of life.

Key words: Cancerous Pain, Aftercare, Follow-Up Studies, Evidence-Based Nursing