摘要
目的为临床护理人员对慢性阻塞性肺疾病患者实施规范性肺康复教育提供指引与参考。方法依据循证资源"6S"模型,自上而下检索国内外与COPD患者肺康复教育相关的证据,包括临床决策、指南、专家共识、证据总结、系统评价,由2名研究者对纳入文献进行质量评价、证据提取和汇总。结果共纳入25篇文献,其中指南11篇、临床决策1篇,证据总结2篇、专家共识5篇、系统评价6篇。总结出教育原则、教育者资质、教育对象、教育时机、教育前评估、教育主题及内容、教育策略、教育方法和教育效果评价9个方面共27条最佳证据。结论本证据可作为临床医护人员实施肺康复教育的指引与参考,但需从证据应用、利益相关者和系统3个层面分析障碍因素,选择合适的证据使用。
Objective To provide a guide for clinical nurses to the implementation of pulmonary rehabilitation education on chronic obstructive pulmonary disease(COPD) patients.Methods Following the 6 S Pyramid,best practice recommendations report guideline,expert consensus statement,evidence summary,and systematic review concerning pulmonary rehabilitation education for COPD patients were searched in relevant electronic databases.Quality of the included literature was evaluated by two researchers,and the evidence was extracted and summarized.Results Twenty-five publications were eligible,including 11 guidelines,1 best practice recommendations report,2 evidence summaries,5 expert consensus statements,and 6 systematic reviews.Finally,27 pieces of best evidence were summarized,which embraces 9 themes:principles of education,educator qualifications,target population,education timing,pre-education assessment,educational topics and contents,strategies,methods,and evaluation of effectiveness.Conclusion Evidence summarized in the study would be a guide to implementation of pulmonary rehabilitation education in COPD patients.Before use of the evidence,it is suggested to analyze appropriateness of the evidence and address barriers from stakeholders and the system.
作者
李华芬
李平东
曾秋璇
罗冠祥
刘秋文
宫玉翠
Li Huafen;Li Pingdong;Zeng Qiuxuan;Luo Guanxiang;Liu Qiuwen;Gong Yucui(Department of Nursing,The First Hospital of Guangzhou Medical University,Guangzhou 510120,China)
出处
《护理学杂志》
CSCD
北大核心
2022年第3期79-83,共5页
Journal of Nursing Science
基金
广东省医学科研基金项目(A2020128)
广州护理学会科研项目(A2021017)。
关键词
慢性阻塞性肺疾病
肺康复
健康教育
证据总结
循证护理
chronic obstructive pulmonary disease
pulmonary rehabilitation
health education
evidence summary
evidence-based nursing
