生活方式相关性干眼预防及管理的最佳证据总结

doi:10.3761/j.issn.0254-1769.2023.21.015

摘要/Abstract

摘要： 目的检索、评价和整合生活方式相关性干眼预防及管理的相关证据。方法计算机检索国内外数据库关于该主题的相关证据，文献类型包括指南、专家共识、临床决策、证据总结及系统评价，检索时间为建库至2022年9月11日，由2名研究者独立进行文献质量评价后，根据主题对证据进行提取与汇总。结果根据纳入标准，共筛选出13篇文献，包括1篇指南、5篇系统评价、3篇专家共识、2篇临床决策、2篇证据总结，从评估、症状识别、危险因素识别、人工泪液的管理、眼部护理、饮食管理、健康指导、随访教育8个方面总结出25条证据。结论该研究总结了生活方式相关性干眼预防及管理的最佳证据，可为护理人员开展临床实践提供参考。在证据转化过程中应结合实际情况，提高护理质量。

关键词: 干眼, 生活方式, 证据总结, 预防, 管理

Abstract:

Objective To retrieve，evaluate and integrate evidence related to prevention and management of lifestyle-related dry eye patients. Methods The clinical decisions，recommended practices，evidence summaries，technical reports，guidelines，expert consensuses and systematic evaluations on the prevention and management of lifestyle-related dry eye patients in domestic and foreign databases were retrieved by the computer. The evidence was extracted and summarized according to the subject after the independent literature quality evaluation by 2 researchers. The literature retrieval time limit was from the establishment of the databases to September 2022. Results According to the inclusion criteria，13 pieces of the literature were screened，including 1 guideline，5 systematic reviews，3 expert consensuses，2 technical reports and 2 evidence summaries. Through literature reading，evidence extraction and classification，a total of 25 pieces of evidence were summarized，including assessment，symptom identification，identification of risk factors，artificial tear management，eye care，diet management，health guidance，follow-up education. Conclusion This study summarized the best evidence of prevention and management of lifestyle-related dry eye patients，so as to provide references for nurses to carry out clinical practice. In the process of evidence transformation，the actual situation should be combined to improve the quality of nursing.

Key words: Dry Eye, Lifestyle, Evidence Summary, Prevention, Management

杨娟, 李牧玲, 朱佩燕, 李春梅, 黄清辉, 谢灵, 周宏珍. 生活方式相关性干眼预防及管理的最佳证据总结[J]. 中华护理杂志, 2023, 58(21): 2662-2669.

YANG Juan, LI Muling, ZHU Peiyan, LI Chunmei, HUANG Qinghui, XIE Ling, ZHOU Hongzhen. Best evidence summary for prevention and management of lifestyle-related dry eye[J]. Chinese Journal of Nursing, 2023, 58(21): 2662-2669.

图/表 5

图1 PubMed检索策略图

Figure 1 PubMed search strategies

图2 文献检索筛选流程图

Figure 2 Flow chart of literature search and screening

表1 纳入文献的一般特征（n=13）

Table 1 Characteristics of included literature（n=13）

表2 纳入系统评价的质量评价结果（n=5）

Table 2 Quality evaluatio. Results of included systematic reviews methodology（n=5）

表3 生活方式相关性干眼患者预防及管理的最佳证据总结

Table 3 Best evidence of prevention and management of lifestyle-related dry eye patients

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