乳腺癌患者性健康管理的最佳证据总结

doi:10.3761/j.issn.0254-1769.2022.17.018

摘要/Abstract

摘要：

目的检索、评价和整合乳腺癌患者性健康管理的相关证据,为临床实践提供参考。方法使用计算机检索中国知网、中国生物医学文献数据库、UpToDate、PubMed、Cochrane Library、澳大利亚乔安娜布里格斯研究所循证卫生保健中心数据库、CINAHL、美国国立指南库、美国国家综合癌症网、美国临床肿瘤学会网站、欧洲肿瘤内科学会网站中关于乳腺癌患者性健康管理的证据,包括临床决策、指南、系统评价、证据总结及专家共识,检索时限为建库至2022年2月10日。结果共纳入17篇文献,包括临床决策4篇、指南5篇、专家共识4篇、系统评价4篇,从筛查与评估、心理干预、器械与运动干预、非激素治疗、激素治疗、生殖健康、培训与随访7个方面,共总结33条最佳证据。结论该研究总结的乳腺癌患者性健康管理的最佳证据较为全面,护士在临床实践中可结合临床情景及患者意愿,个性化地应用证据,改善乳腺癌患者性健康。

关键词: 乳腺癌, 乳腺肿瘤, 性健康, 管理, 证据总结, 循证护理学

Abstract:

Objective To search,evaluate and integrate the relevant evidence for sexual health management in breast cancer patients,and to provide references for clinical practice. Methods We searched CNKI,CBM,UpToDate,PubMed,Cochrane Library,Joanna Briggs Institute,CINAHL,National Guideline Clearinghouse,National Comprehensive Cancer Network,American Society of Clinical Oncology,European Society for Medical Oncology for relevant clinical decisions,guidelines,systematic reviews,evidence summaries and expert consensuses. The retrieval period is from the establishment of databases to February 10,2022. Results A total of 17 articles were enrolled,including 4 clinical decisions,5 guidelines,4 expert consensuses and 4 systematic reviews. Totally 33 pieces of best evidence were summarized from 7 aspects,namely screening and evaluation,psychological intervention,instrumental and exercise intervention,non-hormone therapy,hormone therapy,related reproduction and training and follow-up. Conclusion This study summarized the best evidence for sexual health management in breast cancer patients. In clinical practice,nurses can personalize the application of evidence according to clinical situation and patients’ wishes to improve breast cancer patients’ sexual health.

Key words: Breast Cancer, Breast Neoplasms, Sexual Health, Management, Evidence Summary, Evidence-Based Nursing

鲁佳, 李英, 周佳欣, 陈肖敏. 乳腺癌患者性健康管理的最佳证据总结[J]. 中华护理杂志, 2022, 57(17): 2156-2163.

LU Jia, LI Ying, ZHOU Jiaxin, CHEN Xiaomin. Best evidence summary for sexual health management in breast cancer patients[J]. Chinese Journal of Nursing, 2022, 57(17): 2156-2163.

图/表 5

表1 文献检索策略

Table 1 Literature retrieval strategies

图1 文献筛选流程图

Figure 1 Literature screening flow chart

表2 纳入文献的一般特征（n=17）

Table 2 Characteristics of included studies（n=17）

表3 纳入指南的质量评价结果（n=5）

Table 3 Quality evaluation of guidelines（n=5）

表4 乳腺癌患者性健康管理的最佳证据总结

Table 4 Summary of the best evidence for management of sexual health in breast cancer patients

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