摘要
目的整合现有骨髓增殖性肿瘤(MPN)临床护理实践相关指南,形成高质量本土化证据资源,为临床知识转化提供依据,以期使临床实践者护理患者时有规可行、有据可依。方法在国际实践指南注册与透明化平台进行指南整合注册,以ADAPTE指南整合方法为指导,根据"6S证据金字塔"模型对证据进行自上而下的检索及筛选,对纳入的指南进行质量评价和内容分析,提取、梳理、整合MPN临床护理实践的推荐意见。检索时限为2011年9月—2022年9月。结果最终纳入6篇循证类指南、6篇专家共识类指南和4篇临床决策,共提取出40条推荐意见,整合为入院评估、症状管理、危险因素管理、用药管理、治疗目标管理和随访管理6个Ⅰ级主题和19个Ⅱ级主题。结论纳入的指南整体质量较高,推荐意见丰富、具体且高度一致,可为后期证据转化提供资源准备。但部分内容仍需补充拓展,建议该领域学者结合临床需求,制订更加全面、具体的临床护理实践指南。
Objective To adapt the clinical nursing practice guidelines for myeloproliferative neoplasms(MPN)to form high-quality localized evidence,so as to provide a basis for clinical knowledge transformation,and enable clinical practitioners to care for patients based on standards and evidence.Methods We carried out guideline adaptation registration on the Practice Guideline Registration for Transparency.Guided by the ADAPTE method,evidence was searched and screened from top to bottom based on the"6S evidence pyramid"model.We conducted quality evaluation and content analysis on the included guidelines to extract,organize,and adapt recommendations on MPN clinical nursing practices.The search period was from September 2011 to September 2022.Results A total of six evidence-based guidelines,six expert consensus guidelines,and four clinical decisions were included.A total of 40 recommendations were extracted,which were adapted into six LevelⅠthemes for admission assessment,symptom management,risk factor management,medication management,treatment goal management,and follow-up management,as well as 19 LevelⅡthemes.Conclusions The guidelines included are of high overall quality,with rich,specific,and highly consistent recommendations,which can provide resource preparation for later evidence conversion.Some content still needs to be supplemented and expanded.It is recommended that scholars in this field develop comprehensive and specific clinical nursing practice guidelines based on clinical needs.
作者
张倩倩
解文君
刘亚婷
李朝煜
赵金影
施月仙
李俊杰
Zhang Qianqian;Xie Wenjun;Liu Yating;Li Zhaoyu;Zhao Jinying;Shi Yuexian;Li Junjie(Nursing Department,Hematology Hospital,Chinese Academy of Medical Sciences(Institute of Blood Transfusion,Chinese Academy of Medical Sciences),State Key Laboratory of Experimental Hematology,National Clinical Medical Research Center for Hematology Diseases,Haihe Laboratory of Cell Ecosystem,Tianjin Institute of Medicine,Tianjin 300020,China;Center for Myelodysplastic Syndrome,Hematology Hospital,Chinese Academy of Medical Sciences(Institute of Blood Transfusion,Chinese Academy of Medical Sciences),State Key Laboratory of Experimental Hematology,National Clinical Medical Research Center for Hematology Diseases,Haihe Laboratory of Cell Ecosystem,Tianjin Institute of Medicine,Tianjin 300020,China;School of Nursing,Capital Medical University,Beijing 100069,China;School of Nursing,Peking University,Beijing 100191,China)
出处
《中华现代护理杂志》
2023年第15期2055-2062,共8页
Chinese Journal of Modern Nursing
基金
中华医学会杂志社2021-2022年护理学科研究课题(CMAPH-NRG2021032)
中国医学科学院医学与健康科技创新工程项目(2022-I2M-C&T-B-093)
中华护理学会2021年度立项科研课题(ZHKY202115)。
关键词
骨髓增殖性肿瘤
护理
指南
整合
Myeloproliferative neoplasms
Nursing care
Guideline
Adaptation
