开角型青光眼患者眼部用药规范化护理管理的最佳证据总结  

Summary of the best evidence on standardized ocular medication management among open-angle glaucoma patients

作　　者：张宇 方晓敏 黄文敏[1] ZHANG Yu;FANG Xiaomin;HUANG Wenmin(State Key Laboratory of Ophthalmology,Zhongshan Ophthalmic Center,Sun Yat-sen University,Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science,Guangzhou 510060,China)

机构地区：[1]中山大学中山眼科中心,眼科学国家重点实验室,广东省眼科视觉科学重点实验室,广州510060

出　　处：《眼科学报》2023年第1期17-24,共8页Eye Science

基　　金：广东省医学科学技术研究基金(A2021088)。

摘　　要：目的:检索并总结开角型青光眼患者眼部用药规范化护理管理的最佳证据,为临床实践提供参考。方法:通过护理循证方法提出实践问题,按照循证证据检索数据库的“6S”分类模型,检索有关开角型青光眼患者眼部用药管理的所有证据资源类型,包括临床指南、最佳实践信息册、证据总结、系统评价和专家共识等。由2名循证护理研究员对纳入文献的质量进行独立评价并进行证据的归纳总结。结果:最终纳入12篇文献,包括4篇指南、3篇证据总结和5篇系统评价;汇总了19条有关开角型青光眼眼部用药管理的最佳证据,包括滴眼技术指导、依从性管理和信息提供3个方面。结论:总结开角型青光眼眼部用药管理的最佳证据,可为临床医务人员管理患者提供参考和借鉴,以达到患者规范用药、控制眼压和延缓疾病进展的目的。Objective:To retrieve and summarize the best evidence on standardized ocular medication management among open-angle glaucoma patients.Methods:With evidence-based nursing method,practical problems were identified.According to the"6S"pyramid model of evidence resource,studies on standardized ocular medication management among open-angle glaucoma patients were retrieved,including clinical guidelines,best practice information booklet,systematic reviews,and expert consensus.Two evidence-based nursing researchers independently evaluated the quality of the included literature and summarized the evidence.Results:A total of 12 articles were ultimately enrolled,including 4 clinical guidelines,3 evidence summaries and 5 systematic reviews.Finally;3 aspects including 19 pieces of best evidence were summarized,which were Eye drop technical instruction,medication adherence management and related information provision.Conclusion:The best evidence for the medication management of open-angle glaucoma patients were summarized,which provide reference for clinical medical staffs to manage patients,so as to achieve the purpose of standardizing medication,controlling intraocular pressure and preventing disease progression.

关 键 词：开角型 青光眼 药物治疗 管理 证据总结 

分 类 号：R473.77[医药卫生—护理学]