盆底肌训练防治前列腺癌根治术后尿失禁的最佳证据总结

doi:10.3761/j.issn.0254-1769.2020.12.018

摘要/Abstract

摘要：

目的检索、评价和总结盆底肌训练防治前列腺癌根治术后尿失禁的相关证据,为临床护理提供参考。方法计算机系统检索尿失禁协会网站、指南网和数据库有关盆底肌训练防治前列腺癌根治术后尿失禁的指南、证据总结、最佳实践信息册、推荐实践及系统评价,检索时限为建库至2020年1月18日,由2名经过系统培训的研究人员对文献质量进行评价和资料提取,对符合质量标准的文献进行证据提取。结果共筛选文献11篇,其中,指南3篇、证据总结1篇和系统评价7篇。总结了11条最佳证据,包括训练目的、尿失禁评估、启动时机、方法和效果以及干预效果影响因素5个方面。结论该研究总结了盆底肌训练防治前列腺癌根治术后尿失禁的最佳证据,便于临床医护人员对前列腺癌根治术患者进行更有针对性、科学性的尿失禁评估、盆底肌训练宣教及指导。

关键词: 盆底肌训练, 尿失禁, 前列腺肿瘤, 证据总结, 循证实践, 护理

Abstract:

Objective To retrieve,evaluate and summarize the best evidence of pelvic floor muscle training applied in prevention and treatment of post-prostatectomy incontinence,so as to provide references for clinical practice. Methods We searched the guideline websites,association official websites and databases to collect literature including guidelines,evidence summaries,best practice information sheets,recommend practice and system reviews. 2 researchers independently evaluated quality of literature and extracted data. Results Totally 11 articles were enrolled,including 3 guidelines,1 evidence summary and 7 systematic reviews. Finally 11 pieces of best evidence on training aims,assessment of urinary incontinence,application timing,effects and methods,factors influencing effects of interventions were summarized. Conclusion This study summarized the best evidence of pelvic floor muscle training applied in prevention and treatment of post-prostatectomy incontinence to provide more targeted and scientific guidance for clinical medical staff in the assessment of urinary incontinence,pelvic floor muscle training,health education and instructions for patients undergoing radical prostatectomy.

Key words: Pelvic Floor Muscle Training, Urinary Incontinence, Prostatic Neoplasms, Best Evidence, Evidence-Based Practice, Nursing Care

司龙妹,张佩英,张萌,刘越,王偲,尚艳华,王慧梅,徐蕴红,黄燕波,丁炎明. 盆底肌训练防治前列腺癌根治术后尿失禁的最佳证据总结[J]. 中华护理杂志, 2020, 55(12): 1859-1863.

SI Longmei,ZHANG Peiying,ZHANG Meng,LIU Yue,WANG Cai,SHANG Yanhua,WANG Huimei,XU Yunhong,HUANG Yanbo,DING Yanming. Evidence summary of pelvic floor muscle training applied in prevention and treatment of post-prostatectomy incontinence[J]. Chinese Journal of Nursing, 2020, 55(12): 1859-1863.

图/表 4

表1 纳入文献的一般特征

Table 1 General characteristics included in the literature

表2 纳入指南的质量评价结果

Table 2 Results of quality evaluation of the guidelines

表3 纳入系统评价的质量评价结果

Table 3 Results of quality evaluation of the systematic reviews

表4 盆底肌训练防治前列腺癌根治术后尿失禁的最佳证据

Table 4 Best evidence of pelvic floor muscle training applied in prevention and treatment of urinary incontinence after radical prostatectomy

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