宫颈癌患者根治术后尿潴留预防及管理的最佳证据总结

doi:10.3761/j.issn.0254-1769.2019.07.028

摘要/Abstract

摘要：

目的检索、评价和汇总宫颈癌患者根治术后尿潴留的预防和管理的最佳证据,为临床护理工作提供参考。方法计算机检索BMJ Best Practice、UpToDate、Cochrane图书馆、Joana Briggs Institute循证卫生保健国际合作中心数据库、OVID循证数据库、中国指南网、美国指南网、ClincalKey for Nursing、加拿大安大略注册护士协会、PubMed、荷兰医学文摘数据库、护理文献累积索引数据库关于宫颈癌患者根治术后尿潴留预防及管理的所有证据,包括临床实践指南、最佳临床实践信息册、证据汇总及系统评价。检索时限从建库至2018年5月。结果共纳入16篇文献,包括临床实践指南5篇、系统评价5篇、证据总结4篇、临床决策2篇,最终获取14条最佳证据。结论临床科室在应用证据时,应结合文化背景、具体的临床环境、患者意愿及偏好等有针对性地选择证据,及时关注相关证据的更新。

关键词: 宫颈癌, 尿潴留, 导尿管, 留置, 循证护理学, 围术期护理

Abstract:

Objective To search,evaluate,and summarize best evidence on prevention and management of urinary retention after radical resection in cervical cancer patients,so as to provide reference for clinical work.Methods We searched BMJ Best Practice,UpToDate,Cochrane Library,Joanna Briggs Institute Library,OVID database,China Guideline Clearinghouse,National Guideline Clearinghouse（NGC）,ClincalKey for Nursing,Registered Nurses’ Association of Ontario,PubMed,EMbase,Cumulative Index to Nursing Allied Health Literature to collect all articles on prevention and management of urinary retention after radical resection in cervical cancer patients,including clinical practice guidelines,best practice information sheet,evidence summary,and systematic review. The retrieval period was from the inception to May 2018.Results A total of 16 articles were included,and they were 5 clinical practice guidelines,5 systematic reviews,4 evidence summaries,and 2 clinical decisions. Finally 14 items of best evidence were summarized.Conclusion Clinical departments should select evidence according to cultural background,clinical environment,patients’ intention and preference,and attention should be paid to update of evidence.

Key words: Uterine Cervical Neoplasms, Urinary Retention, Catheters, Indwelling, Evidence-Based Nursing, Perioperative Nursing

吕永利, 李沙沙, 李霞, 吴佩, 万丞, 王培红, 喻娇花, 曾娅, 王绍海, 杨守华. 宫颈癌患者根治术后尿潴留预防及管理的最佳证据总结[J]. 中华护理杂志, 2019, 54(7): 1097-1101.

Lü Yongli, LI Shasha, LI Xia, WU Pei, WAN Cheng, WANG Peihong, YU Jiaohua, ZENG Ya, WANG Shaohai, YANG Shouhua. Best evidence summary on prevention and management of urinary retention after radical resection in cervical cancer patients[J]. Chinese Journal of Nursing, 2019, 54(7): 1097-1101.

图/表 3

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纳入文献	各领域标准化百分比(%)
	范围和目的	牵涉人员	开发的严格性	呈现的清晰性	指南的适用性	编辑的独立性	≥60%的领域数	≥30%的领域数	推荐级别
	范围和目的	牵涉人员	开发的严格性	呈现的清晰性	指南的适用性	编辑的独立性	≥60%的领域数	Koh 等^[8]	推荐级别	80.5	91.7	75.0	58.3	46.8	75.0	4	6	B
Hooton 等咱^12]	93.0	93.7	91.6	90.4	88.5	81.3	6	6	A
那彦群^[21]	83.3	94.7	70.8	83.3	75.0	62.5	6	6	A
中国康复医学会^[22]	77.7	88.5	54.2	71.4	64.5	43.7	4	6	B
Gould 等^[23]	91.6	88.5	83.3	75.0	83.3	62.5	6	6	A

纳入文献	各领域标准化百分比(%)
	范围和目的	牵涉人员	开发的严格性	呈现的清晰性	指南的适用性	编辑的独立性	≥60%的领域数	≥30%的领域数	推荐级别
	范围和目的	牵涉人员	开发的严格性	呈现的清晰性	指南的适用性	编辑的独立性	≥60%的领域数	Koh 等^[8]	推荐级别	80.5	91.7	75.0	58.3	46.8	75.0	4	6	B
Hooton 等咱^12]	93.0	93.7	91.6	90.4	88.5	81.3	6	6	A
那彦群^[21]	83.3	94.7	70.8	83.3	75.0	62.5	6	6	A
中国康复医学会^[22]	77.7	88.5	54.2	71.4	64.5	43.7	4	6	B
Gould 等^[23]	91.6	88.5	83.3	75.0	83.3	62.5	6	6	A

纳人文献	a	b	c	d	e	f	^g	h	i	J	k
van Gent 等^[9]	是	是	是	不清楚	是	是	是	是	是	否	是
Moola 等^[10]	否	是	是	不清楚	不清楚	是	是	是	是	是	是
Griffiths 等^[13]	是	是	是	是	是	是	是	是	是	是	不清楚
Ghuman 等^[17]	否	是	是	不清楚	是	是	是	是	是	是	是
Lapitan 等^[20]	是	是	是	是	是	是	是	是	是	是	是
Lam 等^[24]	是	是	是	不清楚	是	是	是	是	是	是	是
Madiga 等^[25]	否	是	是	不清楚	不清楚	是	是	是	是	是	不清楚
Nial-Weise 等^[26]	是	是	是	不清楚	是	是	是	是	是	是	是

纳人文献	a	b	c	d	e	f	^g	h	i	J	k
van Gent 等^[9]	是	是	是	不清楚	是	是	是	是	是	否	是
Moola 等^[10]	否	是	是	不清楚	不清楚	是	是	是	是	是	是
Griffiths 等^[13]	是	是	是	是	是	是	是	是	是	是	不清楚
Ghuman 等^[17]	否	是	是	不清楚	是	是	是	是	是	是	是
Lapitan 等^[20]	是	是	是	是	是	是	是	是	是	是	是
Lam 等^[24]	是	是	是	不清楚	是	是	是	是	是	是	是
Madiga 等^[25]	否	是	是	不清楚	不清楚	是	是	是	是	是	不清楚
Nial-Weise 等^[26]	是	是	是	不清楚	是	是	是	是	是	是	是