摘要
[目的]检索、评价和总结穴位按压缓解癌症病人化疗相关恶心呕吐(CINV)的最佳证据。[方法]检索BMJ最佳临床实践、Up To Date、国际指南协作网、英国国家医疗保健优化研究所、JBI在线循证照护和治疗临床在线网络数据库、Cochrane循证医学数据库、加拿大安大略注册护士协会、莫斯比护理咨询、Elsevier、OVID、PubMed、中文期刊全文数据库、万方、维普、中国生物医学文献数据库、中国临床指南数据库等网站及数据库中与穴位按压法缓解癌症病人CINV相关的指南、证据总结、系统评价,对纳入的文献质量进行评价,并对符合质量标准的文献进行证据提取。[结果]共纳入文献6篇,其中指南3篇,系统评价3篇。3篇指南证据显示:穴位按压减少了恶心、干呕和呕吐发生,但效果甚微,建议根据个人偏好和专业判断为个别病人建议或采取该措施。3篇系统评价结果显示:穴位按压可减轻急性和延迟性恶心症状,但是并未得出改善呕吐状况的结论。[结论]现有证据表明,采用穴位按压法可以在一定程度上缓解癌症病人CINV,但其实际效果仍需更多高质量、大样本的临床试验和更多系统评价和证据总结予以明确。
Objective:To retrieve,evaluate and summarize best evidences on acupressure relieved chemotherapy induced nausea and vomiting in patients with cancer.Methods:It retried British Medical Journal Best Practice,Up To Date,Guidelines International Network,National Health and Healthcare,JBI COnNECT+,Cochrane evidence-based Medicine Database,Canada Registered Nurses'Association of Ontario,Mosby's Nursing Consult,Elsevier,OVID,PubMed,CNKI,Wanfang Data,VIP,CBM.All evidence on acupressure relieved chemotherapy induced nausea and vomiting in patients with cancer,including guidelines,evidence summaries and systematic evaluations,were collected.The quality of included literatures were evaluated.Then,evidences were extracted from literatures that met the quality standards.Results:A total of 6 papers were included in this study,including 3 guidelines,3 systematic evaluations.3 guideline evidences showed that acupressure reduced nausea,retching and vomiting,but the effect was very small.It recommended taking this measure for individual patients according personal preference and professional judgment.The results of 3 systematic reviews showed that acupressure could eliminate symptoms of acute and delayed nausea.But it cannot be proven that acupressure could improve vomiting.Conclusions:Present evidences showed that acupressure could partly relieve CINV in patients with cancer,but it needs more high⁃quality,large⁃sample clinical trials,more systematic reviews and evidence summary to prove the actual effect.
作者
孙凌雪
胡三莲
刘新义
钱会娟
SUN Lingxue;HU Sanlian;LIU Xinyi;QIAN Huijuan(Shanghai JiaoTong University School of Nursing,Shanghai 200233 China)
出处
《护理研究》
北大核心
2020年第22期3972-3976,共5页
Chinese Nursing Research
关键词
穴位按压
癌症
化疗相关恶心呕吐
循证护理
最佳证据
指南
系统评价
acupressure
cancer
chemotherapy induced nausea and vomiting
evidence⁃based nursing
best evidence
guidelines
systematic review
