膝骨关节炎患者自我管理的最佳证据总结

doi:10.3761/j.issn.0254-1769.2023.06.014

摘要/Abstract

摘要：

目的提取、评价和整合膝骨关节炎患者自我管理相关证据，以期为提高膝骨关节炎患者自我管理质量提供循证依据。方法计算机检索指南网站、专业学会网站及综合数据库中关于膝骨关节炎患者自我管理的相关文献，文献类型包括临床决策、指南、专家共识、推荐实践、证据总结、系统评价、Meta分析、随机对照试验，检索时限为2012年1月—2022年10月。结果共纳入25篇文献，包括11篇指南、4篇专家共识、1篇临床决策、4篇系统评价、5篇随机对照试验。共提取出证据30条，经过整理与讨论，将证据整合为学习相关知识、运动管理、体重管理、关节保护4个类别。结论该研究总结的膝骨关节炎患者自我管理最佳证据质量高、权威性强，可为临床医护人员提供循证依据，以便更科学、有效地帮助膝骨关节炎患者进行自我管理。

关键词: 骨关节炎，膝, 自我管理, 循证护理学

Abstract:

Objective To extract，summarize and evaluate the best evidence of self-management for patients with knee osteoarthritis（KOA），and to provide evidence-based evidence for improving self-management of patients with KOA. Methods We searched the guidelines websites，association official websites and integrated databases，for all literature on self-management of patients with KOA；the types of literature included clinical decision-making，guidelines，evidence summaries，expert-consensuses，systematic reviews and randomized controlled trials. The retrieval time was from January 2012 to October 2022. Results A total of 25 articles were included，including 11 guidelines，4 expert consensuses，1 clinical decision，4 systematic reviews and 5 randomized controlled trials. A total of 30 pieces of evidence were extracted. After sorting and discussion，the evidence was integrated into 4 areas，namely learning KOA related knowledge，exercise management，weight management and joint protection. Conclusion The evidence of self-management of patients with KOA is abundant，high quality and authoritative，which can provide evidence-based bases for clinical medical staff，so as to help patients with KOA carry out self-management more scientifically and effectively.

Key words: Osteoarthritis，Knee, Self-Management, Evidence-Based Nursing

单雪琪, 余姜璇, 王俊杰, 许娅文, 沈睿, 王茜茜. 膝骨关节炎患者自我管理的最佳证据总结[J]. 中华护理杂志, 2023, 58(6): 735-742.

SHAN Xueqi, YU Jiangxuan, WANG Junjie, XU Yawen, SHEN Rui, WANG Xixi. Evidence summary of self-management for patients with knee osteoarthritis[J]. Chinese Journal of Nursing, 2023, 58(6): 735-742.

图/表 4

图1 文献检索筛选流程图

Figure 1 Flow chart of literature search and screening

表1 纳入文献的一般特征(n=25)

Table 1 Characteristics of included literature(n=25)

表2 纳入指南的文献质量评价标准（n=11）

Table 2 Quality evaluation results of included guidelines（n=11）

表3 膝骨关节炎患者自我管理的最佳证据总结

Table 3 Evidence summary for self-management in knee osteoarthritis patients

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