乳腺癌相关淋巴水肿非药物干预的证据总结  

Evidence summary for non-pharmacological interventions of breast cancer-related lymphedema

作　　者：李佳倩 强万敏 魏婷婷 朱明玉 李苗苗 沈傲梅 武佩佩 王盈 LI Jiaqian;QIANG Wanmin;WEI Tingting;ZHU Mingyu;LI Miaomiao;SHEN Aomei;WU Peipei;WANG Ying

机构地区：[1]天津医科大学肿瘤医院/国家恶性肿瘤临床医学研究中心/天津市恶性肿瘤临床医学研究中心/乳腺癌防治教育部重点实验室/乳腺癌淋巴水肿门诊,天津市300060 [2]天津医科大学肿瘤医院/国家恶性肿瘤临床医学研究中心/天津市恶性肿瘤临床医学研究中心/乳腺癌防治教育部重点实验室/乳腺病房,天津市300060 [3]天津医科大学肿瘤医院/国家恶性肿瘤临床医学研究中心/天津市恶性肿瘤临床医学研究中心/乳腺癌防治教育部重点实验室/护理部,天津市300060

出　　处：《中华护理杂志》2023年第3期349-356,共8页Chinese Journal of Nursing

基　　金：天津市医学重点学科(专科)建设项目(TJYXZDXK011A);天津市深化医药卫生体制改革研究项目(2022YG12)。

摘　　要：目的运用循证的方法整合乳腺癌相关淋巴水肿非药物干预的最佳证据,为临床医护人员对淋巴水肿开展规范化评估和管理提供循证依据。方法系统检索各指南网站及中英文数据库有关乳腺癌患者淋巴水肿预防和管理的相关指南、专家共识、系统评价等证据,检索时限为2016年1月—2022年1月。结果共纳入25篇文献,包括6篇指南、4篇专家共识、15篇系统评价,围绕预防性干预、治疗性干预2个方面总结33条最佳证据。结论该研究总结的证据可用于防治乳腺癌淋巴水肿,医护人员需结合文化背景、临床情境、患者意见,为淋巴水肿患者提供针对性的健康指导。Objective To integrate the best evidence of non-pharmacological interventions for breast cancer-related lymphedema with evidence-based methods,and to provide evidence-based bases for standardized evaluation and management of lymphedema for clinical medical staff.Methods The best evidence about the prevention and management of lymphedema in breast cancer patients were searched systematically,such as relevant guidelines,expert consensuses,systematic reviews and so on.The retrieval period was from January 2016 to January 2022.Results A total of 25 pieces of the literature were included,including 6 guidelines,4 expert consensuses and 15 systematic evaluations,and 33 pieces of best evidences were integrated from 2 aspects,namely the preventive intervention and therapeutic intervention.Conclusion The summarized evidence can be used for the prevention and treatment of breast cancer lymphedema,and medical staff should provide specific health guidance for patients with lymphedema based on cultural background,clinical situation,and patients’opinions.

关 键 词：乳腺癌 淋巴水肿 非药物干预 证据总结 循证护理学 

分 类 号：R473.73[医药卫生—护理学]