摘要
目的检索、评价及整合认知行为疗法改善COPD患者身心症状的最佳证据。方法据"6S"证据模型,检索UpToDate、乔安娜布里格斯研究所循证卫生保健中心数据库、BMJ Best Practice、Cochrane Library、国际指南协作网、英国国家卫生与临床优化研究所、加拿大安大略注册护士协会、医脉通、COPD全球倡议(GOLD)官网及PubMed、Embase、Web of Science、中国生物医学文献数据库、中国知网、万方数据库、维普网中与COPD患者认知行为治疗相关的证据,包括临床实践指南、证据总结、专家共识、系统评价以及原始研究等。检索时限为建库至2022年11月21日。由2名研究者独立对文献质量进行评价,并对符合质量标准的文献进行证据提取和汇总。结果共纳入13篇文献,其中临床决策2篇,指南3篇,专家共识1篇,系统评价3篇,Meta分析1篇,随机对照试验3篇。最终从建立信任关系、认知治疗、行为治疗3个方面形成21条证据。结论该研究总结了认知行为疗法改善COPD患者身心症状的最佳证据,以期为COPD患者的认知行为治疗提供循证依据。
Objective To retrieve,evaluate and integrate the best evidence for cognitive behavioral therapy for improving psychosomatic symptoms in chronic obstructive pulmonary disease(COPD)patients.Methods According to the"6S"model,evidence related to the cognitive behavioral therapy of COPD patients,including clinical practice guidelines,evidence summaries,expert consensus,systematic reviews and original research,was searched in UpToDate,Joanna Briggs Institute Center for Evidence-Based Health Care database,BMJ Best Practice,Cochrane Library,Guidelines International Network,National Institute for Health and Clinical Excellence,Registered Nurses'Association of Ontario,Medlive,Global Initiative for Chronic Obstructive Lung Disease,PubMed,Embase,Web of Science,China Biology Medicine disc,China National Knowledge Infrastructure,Wanfang database and VIP.The search deadline was from the establishment of the databases to November 21,2022.Two researchers independently evaluated the quality of the literature and extracted and summarized evidence from the literature that met the quality standards.Results A total of 13 articles were included,including 2 clinical decision-making articles,3 guidelines,1 expert consensus,3 systematic evaluations,1 Meta-analysis and 3 randomized controlled trials.Finally,21 pieces of evidence were formed from three aspects,such as establishing trust relationships,cognitive therapy and behavioral therapy.Conclusions This study summarizes the best evidence for cognitive behavioral therapy to improve psychosomatic symptoms of COPD patients,in order to provide evidence-based evidence for cognitive behavioral therapy in COPD patients.
作者
李琳
李育玲
袁丽荣
李淑花
刘焘丽
王佳凝
Li Lin;Li Yuling;Yuan Lirong;Li Shuhua;Liu Taoli;Wang Jianing(School of Nursing,Shanxi Medical University,Taiyuan 030000,China;Nursing Department,First Hospital of Shanxi Medical University,Taiyuan 030000,China;Department of Pulmonary and Critical Care Medicine,First Hospital of Shanxi Medical University,Taiyuan 030000,China)
出处
《中华现代护理杂志》
2023年第29期3943-3948,共6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-NRD2021011)。
关键词
肺疾病
慢性阻塞性
认知行为疗法
循证护理
Pulmonary disease,chronic obstructive
Cognitive behavioral therapy
Evidence-based nursing
