造血干细胞移植病人恶心呕吐护理管理最佳证据总结  

Summary of the best evidence for nursing management of nausea and vomiting in patients undergoing hematopoietic stem cell transplantation

作　　者：李潇 柴燕燕[1] 吴艳妮[1] 曹建琼[1] 叶丽娟 涂文菁 LI Xiao;CHAI Yanyan;WU Yanni;CAO Jianqiong;YIE Lijuan;TU Wenjing(Nanfang Hospital Southern Medical University,Guangdong 510515 China)

机构地区：[1]南方医科大学南方医院,广东510515

出　　处：《循证护理》2023年第8期1364-1369,共6页Chinese Evidence-Based Nursing

基　　金：2021年度南方医院护理创优-循证护理项目立项资助项目,编号:2021EBNb005。

摘　　要：目的:总结成人造血干细胞移植(HSCT)病人恶心呕吐评估、预防及管理的最佳证据,为临床护理工作提供科学参考。方法:检索BMJ、Up To Date、澳大利亚Joanna Briggs Institute(JBI)循证卫生保健研究中心、美国指南网(NGC)、英国国家卫生与临床优化研究所(NICE)、医脉通、美国国立综合癌症网络(National Comprehensive Cancer Network,NCCN)、美国血液学会、癌症支持疗法多国学会、中国临床肿瘤学会、the Cochrane Library、PubMed、EMbase、CINAHL、Web of Science、中国知网、万方数据库,选取符合标准的文献。由2名研究员对文献进行质量评价、证据提取及整合。结果:共纳入14篇文献,包括7篇指南、7篇专家共识,从6个方面即一般原则、风险评估、干预策略、用药管理及教育与培训总结出25条最佳证据。结论:本研究总结的造血干细胞移植病人恶心呕吐护理管理最佳证据,为临床医护人员开展恶心呕吐护理提供循证依据。医务人员应根据临床实际情况及病人意愿选择并应用最佳证据。Objective:To summarize the best evidence for the evaluation,prevention,and management of nausea and vomiting in adult hematopoietic stem cell transplantation(HSCT)patients,and provide scientific reference for clinical nursing work.Methods:To search BMJ,Up To Date,the Evidence Based Health Care Research Center of the Joanna Briggs Institute(JBI)in Australia,the United States Guide Network(NGC),the National Institute of Health and Clinical Optimization(NICE)in the United Kingdom,Yimaitong,the National Comprehensive Cancer Network(NCCN)in the United States,the American Society of Hematology,the Multinational Society for Cancer Support Therapy,the Chinese Clinical Oncology Society,the Cochrane Library,PubMed,EMbase,CINAHL Web of Science,CNKI,WanFang Database,and select documents that met the standards.Two researchers conducted quality evaluation,evidence extraction,and integration of the literature.Results:A total of 14 articles of evidence were identified,including 7 guidelines and 7 expert consensus.From six dimensions,namely,general principles,risk assessment,intervention strategies,medication management,and education and training,a total of 25 pieces of best evidence were summarized.Conclusion:This study summarizes the best evidence for nursing management of nausea and vomiting in patients undergoing hematopoietic stem cell transplantation,providing evidence-based evidence for clinical medical personnel to carry out nausea and vomiting care.Medical personnel should select and apply the best evidence based on clinical realities and patient wishes.

关 键 词：造血干细胞移植 恶心呕吐 循证护理 证据总结 

分 类 号：R473[医药卫生—护理学]