老年肿瘤患者跌倒评估及管理最佳证据总结  

Best Evidence Summary for Assessment and Management of Falls in Elderly Cancer Patients

作　　者：蔡莹莹 张俊峰 郑可欣 张兰芳[5] 余璐萍 曾文 陈梦云[2] 黄琼珊[2] CAI Ying-ying;ZHANG Jun-feng;ZHENG Ke-xin;ZHANG Lan-fang;YU Lu-ping;ZENG Wen;CHEN Meng-yun;HUANG Qiong-shan(The 3rd Unit of Oncology Department,Jieyang People’s Hospital,Jieyang 522000,China;Dept.of Nursing Administration,Jieyang People’s Hospital,Jieyang 522000,China;Dept.of Nursing Administration,Songshanhu Central Hospital,Dongguan 523325,China;The 2nd Unit of Psychiatric Department,Center of Chronic Disease Control,Zhuhai 515000,China;Dept.of Radiotherapy,Nanfang Hospital,Southern Medical University,Guangzhou 510400,China;Dept.of Nursing Administration,Zhongshan Peoples’Hospital,Zhongshan 528400,China)

机构地区：[1]揭阳市人民医院肿瘤内科三科,广东揭阳522000 [2]揭阳市人民医院护理部,广东揭阳522000 [3]东莞市松山湖中心医院护理部,广东东莞523325 [4]珠海市慢性病防治中心精神科二区,广东珠海515000 [5]南方医科大学南方医院放疗科,广东广州510400 [6]中山市人民医院护理部,广东中山528400

出　　处：《护理学报》2021年第18期22-27,共6页Journal of Nursing（China）

基　　金：广东省科学技术厅立项项目(2017ZC0473)。

摘　　要：目的总结老年肿瘤患者跌倒评估及管理的最佳证据,为我国临床实践提供参考依据。方法使用PICO模型确定循证问题,计算机检索有关老年肿瘤患者跌倒评估及管理的证据资源,包括指南、证据总结、最佳实践信息册、专家共识、系统评价、文献综述、随机对照研究。由2名完成循证护理培训课程的研究者分别进行文献筛选、文献质量评价、证据级别划分、证据提取及汇总。结果最终纳入7篇文献,包括指南3篇,系统评价1篇,文献综述2篇,随机对照研究1篇,从跌倒风险初步筛查、跌倒风险综合评估、干预措施3个维度总结了26条最佳证据。结论评估是预防老年肿瘤患者跌倒的前提,采取综合的干预措施能有效预防老年肿瘤患者跌倒的发生。最佳证据的应用,需结合医护人员的专业判断,综合考虑患者的需求和偏好、应用证据的场景,分析障碍和促进因素,以制订符合我国临床实践的老年肿瘤患者跌倒评估及管理策略。Objective To summarize the best evidence for the assessment and management of falls in elderly cancer patients,and to provide reference for clinical practice in China.Methods With PICO model,the evidence-based questions were identified;computer-based retrieval of evidence resources for falls assessment and management including guidelines,summary of evidence,best practice information book,expert consensus,systematic review,literature review,and randomized controlled trials in elderly cancer patients was performed.Literature screening,literature quality evaluation,classification of evidence grade and recommendation grade,evidence extraction and summary were conducted by 2 researchers who completed the evidence-based nursing training.Results Seven articles were included,including 3 guidelines,1 systematic review,2 literature reviews,and 1 randomized controlled trial and 26 pieces of best evidence were summarized from 3 dimensions of initial screening,comprehensive evaluation and intervention measures.Conclusion Assessment is the premise to prevent the falls of elderly cancer patients and comprehensive intervention is effective for the prevention of the falls of elderly cancer patients.The application of the best evidence should be based on the professional judgment of the medical staff,the needs and preferences of the patients,the application context of the evidence,and the analysis of barriers and facilitating factors,so as to formulate the evaluation and management strategy of falls for elderly cancer patients in accordance with clinical practice in China.

关 键 词：肿瘤患者 跌倒 评估 管理 最佳证据 循证护理 

分 类 号：R47[医药卫生—护理学]