摘要
目的以循证方法总结乳腺癌患者性问题管理的最佳证据,为临床实践提供参考。方法计算机检索国际指南协作网、美国国立指南库、美国国立综合癌症网络、Cochrane Library、PubMed、中国知网学术文献总库等网站及数据库,收集乳腺癌患者性问题管理的临床实践指南、专家共识和系统评价,检索时限为2011年1月1日至2021年5月23日。由2名研究者进行文献质量评价,提取证据并分类总结。结果共纳入15篇文献,其中临床实践指南1篇,专家共识6篇,系统评价/Meta分析8篇。经提炼,总结最佳证据21条,包括患者的评估、教育/培训、治疗和康复锻炼4个方面。结论医护人员应适当开展乳腺癌患者性问题评估、性健康知识培训,并主动对患者及其伴侣进行性健康教育及选择合适的干预方式,以改善乳腺癌患者性健康问题。
Objective To summarize the best evidence for sexual health management of breast cancer patients with an evidence⁃based method,to provide reference for clinical practice.Methods The clinical practice guidelines,expert consensus and systematic reviews on the management of sexual problems in breast cancer patients were collected through computer retrieval of websites and databases such as Guidelines International Network,Network National Guideline Clearinghouse,National Comprehensive Cancer Network,the Cochrane Library,PubMed,and the CNKI academic literature database,searched from 1 January 2011 to 23 May 2021.The quality of the literature was evaluated by 2 researchers,and the evidence was extracted and summarized.Results A total of 15 articles were included,including 1 clinical practice guide,6 expert consensus,and 8 systematic reviews/Meta⁃analysis.After refinement,21 pieces of best evidence were summarized,in terms of patient evaluation,education/training,treatment and rehabilitation exercises.Conclusions The oncology medical staff should properly carry out sexual problem assessment and sexual health knowledge training for breast cancer patients,actively carry out sexual health education for patients and their partners,and select appropriate intervention methods to improve the sexual health problems of breast cancer patients.
作者
邱霖
佟阳
金咏梅
QIU Lin;TONG Yang;JIN Yongmei(Department of Nursing,7th Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200137,China;Department of Nail-breast Hernia Surgery,7th Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200137,China)
出处
《中国癌症防治杂志》
CAS
2022年第4期434-439,共6页
CHINESE JOURNAL OF ONCOLOGY PREVENTION AND TREATMENT
基金
上海市卫生健康委员会科研课题(201940502)
上海市浦东新区科技发展基金民生科研专项资金医疗卫生项目(PKJ2019⁃Y14)
上海中医药大学探索类课题(2020TS099)。
关键词
乳腺癌
性健康
性功能障碍
性教育
证据总结
循证护理
Breast cancer
Sexual health
Sexual dysfunction
Sexual education
Evidence summary
Evidence⁃based nursing
