卒中后患者神经源性膀胱管理的最佳证据总结  

Management of Neurogenic Bladder in Patients after Stroke:A Summary of the Evidence

作　　者：周美玲[1] 张荀芳[1] 何炼英[1] 李建英[1] 徐亚琴[2] 娄玲娣[2] ZHOU Meiling;ZHANG Xunfang;HE Lianying;LI Jianying;XU Yaqin;LOU Lingdi(Department of Nursing,Zhejiang Provincial Peopled Hospital,Hangzhou 310014,Zhejiang Province,China;Depart meng of Encephalopathy Rehabilitation,Zhejiang Provincial People’s Hospital)

机构地区：[1]浙江省人民医院护理部,浙江杭州310014 [2]浙江省人民医院脑病康复病区

出　　处：《解放军护理杂志》2021年第5期67-70,共4页Nursing Journal of Chinese People's Liberation Army

基　　金：浙江省医药卫生科技计划项目(2019KY271)。

摘　　要：目的检索、评价和获取卒中后患者神经源性膀胱管理的最佳证据。方法应用循证护理方法,针对卒中后患者神经源性膀胱护理提出问题,检索相关文献,采用澳大利亚乔安娜·布里格斯研究所(Joanna Briggs Institute, JBI)循证卫生保健中心的文献评价标准和证据分级系统,对文献进行质量评价及证据级别评定。结果共纳入9篇文献,包括指南6篇、系统评价2篇、专家共识1篇,总结了21条最佳证据。结论建议医护人员在临床应用证据时,充分评估并结合所在医疗机构的临床环境及条件、患者及家属意愿等进行证据选择,从而提高患者依从性,有效实施干预。Objective To retrieve,evaluate and obtain the evidence summary of neurogenic bladder management in patients after stroke.Methods Based on the method of evidence—based nursing,raising questions about neurogenic bladder care in patients after stroke,retrieving relevant literature,Joanna Briggs Institute(JBI)evidence appraisal and recommendation system were used to evaluate the quality of studies and level of evidence.Results Totally 9 articles were included,including 6 guidelines,2 systematic reviews and 1 expert consensus.Finally,21 pieces of best evidence were summarized.Conclusions It is suggested that the medical staff should fully evaluate the clinical environment and the medical institution condition,patients‘and their families’intention or preference to select the evidence,so as to improve patient’s compliance and effectively implement the interventions.

关 键 词：脑卒中 神经源性膀胱 证据总结 

分 类 号：R473.59[医药卫生—护理学]