摘要
目的评价、总结国内外关于肿瘤患儿疲乏管理的最佳证据, 为医护人员改善患儿的疲乏症状提供参考。方法系统检索国内外临床决策支持系统、指南网站、相关专业协会网站、数据库中关于肿瘤患儿疲乏管理的证据, 包括最佳实践、推荐实践、指南、系统评价、证据总结、专家共识。检索时限为建库至2023年4月。由2名研究者独立进行文献质量评价及证据提取。结果共纳入17篇文献, 其中指南4篇, 系统评价13篇。最终从肿瘤患儿疲乏的评估与筛查、危险因素的识别、健康教育、运动干预、药物干预及其他干预6个方面提取32条最佳证据。结论总结的肿瘤患儿疲乏管理的最佳证据可为医护人员改善其疲乏症状提供依据。建议医护人员结合临床情境、专业意见和患者意愿, 筛选最佳证据, 制订个性化的疲乏管理方案。
Objective To evaluate and summarize the best evidence on fatigue management in children with tumors both domestically and internationally,providing reference for medical and nursing staff to improve fatigue symptoms in children.Methods The evidence on fatigue management in children with tumors,including best practices,recommended practices,guidelines,systematic reviews,evidence summaries,and expert consensus,was systematically retrieved from clinical decision support systems,guideline websites,professional association websites,and databases both domestically and internationally.The search period was from database establishment to April 2023.Two researchers independently conducted literature quality evaluation and evidence extraction.Results A total of 17 articles were included,including four guidelines and 13 systematic reviews.Thirty-two best pieces of evidence were extracted from six aspects of assessment and screening,identification of risk factors,health education,exercise intervention,medication intervention,and other interventions of fatigue in children with tumors.Conclusions The best evidence for fatigue management in children with tumors is summarized,which can provide a basis for medical and nursing staff to improve their fatigue symptoms.It is recommended that medical and nursing staff combine clinical context,professional opinions,and patient wishes to screen the best evidence and develop personalized fatigue management programs.
作者
曹金金
王媛媛
戴谦
李萌
何梦雪
沈南平
左雅慧
李梅
Cao Jinjin;Wang Yuanyuan;Dai Qian;Li Meng;He Mengxue;Shen Nanping;Zuo Yahui;Li Mei(Nursing Department,BenQ Medical Center,Nanjing Medical University,Nanjing 210019,China;Intensive Care Unit,Zhejiang Provincial Hospital of Chinese Medicine&the First Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou 310000,China;Department of Hematology,Children's Hospital of Nanjing Medical University,Nanjing 210008,China;Nursing Department,Children's Hospital of Nanjing Medical University,Nanjing 210008,China;Department of Hematology Oncology,Shanghai Children's Medical Center,Shanghai Jiao Tong University School of Medicine,Shanghai 200127,China;Nursing Department,Shanghai Children's Medical Center,Shanghai Jiao Tong University School of Medicine,Shanghai 200127,China;School of Nursing,Nanjing Medical University,Nanjing 211166,China;International Medical Center,BenQ Medical Center,Nanjing Medical University,Nanjing 210019,China)
出处
《中华现代护理杂志》
2024年第27期3685-3693,共9页
Chinese Journal of Modern Nursing
基金
中国妇幼保健协会妇儿健康临床标准与规范化项目(ZGFY-B-201903)
南京医科大学科技发展基金一般项目(NMUB2020101)。
关键词
肿瘤
儿童
疲乏
循证护理
儿科护理
Neoplasms
Child
Fatigue
Evidence-based nursing
Pediatric nursing
