摘要
目的检索并总结盆腔器官脱垂(POP)患者非手术治疗及管理的相关证据。方法根据"6S"证据金字塔模型系统检索UpToDate、英国国家卫生与临床优化研究所、澳大利亚乔安娜布里格斯研究所(JBI)循证卫生保健中心数据库、国际指南协作网、美国国立指南库、PubMed、中国知网等数据库、网站中与POP患者非手术治疗及管理相关的临床指南、专家共识、系统评价、临床决策、临床最佳实践,检索时限均为建库至2024年1月31日。由2名研究者根据临床指南研究与评价系统Ⅱ和JBI循证卫生保健中心的评价工具独立进行文献质量评价并提取相关资料。采用JBI证据分级及证据推荐级别系统(2014版)进行证据整合和分级。结果最终纳入文献15篇,其中临床决策支持3篇、指南8篇、最佳实践2篇、专家共识1篇、系统评价1篇。从检查与评估、治疗计划、生活方式、期待疗法、功能锻炼、物理治疗、子宫托、药物治疗、随访观察9个方面归纳了39条最佳证据。结论本研究总结了POP患者非手术治疗及管理的最佳证据,具有科学性与全面性,为医务人员制订POP患者非手术治疗及管理方案和POP患者自我管理提供了循证依据。
Objective To retrieve and summarize the evidence regarding the non-surgical treatment and management of patients with pelvic organ prolapse(POP).Methods According to the"6S"evidence pyramid model,clinical guidelines,expert consensus,systematic reviews,clinical decisions,and clinical best practices related to the non-surgical treatment and management of patients with POP were systematically searched in databases and websites such as UpToDate,National Institute for Health and Clinical Excellence,Australia Joanna Briggs Institute(JBI)Evidence-Based Health Care Center Database,Guidelines International Network,National Guideline Clearinghouse,PubMed,China National Knowledge Infrastructure.The search period was from the establishment of the database to January 31,2024.Two investigators independently conducted literature quality assessment and extracted relevant information according to the Appraisal of Guidelines for Research and EvaluationⅡand the Australia JBI Evidence-Based Health Care Center evaluation tools.The Australia JBI quality level of evidence and grade of recommendation(2014 version)were used for evidence integration and grading.Results A total of 15 papers were finally included,including three clinical decisions,eight guidelines,two best practices,one expert consensus,and one systematic review.A total of 39 pieces of best evidence were summarized in nine areas of examination and assessment,treatment plan,lifestyle,expectant therapy,functional exercise,physical therapy,pessary,drug therapy,and follow-up observation.Conclusions This study summarizes the best evidence on the non-surgical treatment and management of POP patients,which is scientific and comprehensive,and provides an evidence-based basis for medical and nursing staff to develop non-surgical treatment and management protocols for POP patients and self-management of POP patients.
作者
何林倩
李希西
伍虹瑾
兰锶鍚
蒋洪
He Linqian;Li Xixi;Wu Hongjin;Lan Siyang;Jiang Hong(School of Nursing,Chengdu Medical College,Chengdu 610500,China;Nursing Department,Mianyang Hospital,School of Medicine,University of Electronic Science and Technology of China&Mianyang Central Hospital,Mianyang 621000,China)
出处
《中华现代护理杂志》
2025年第4期453-461,共9页
Chinese Journal of Modern Nursing
基金
绵阳市中心医院课题(MCHHL2023YB12)。
关键词
循证护理
盆腔器官脱垂
非手术治疗
Evidence-based nursing
Pelvic organ prolapse
Non-surgical treatment
