乳腺癌相关淋巴水肿患者中医护理的证据总结  

Summary of the evidence on Traditional Chinese Medicine nursing for breast cancer-related lymphedema patients

作　　者：周旭 黄铮[2] 朱为康[3] ZHOU Xu;HUANG Zheng;ZHU Weikang

机构地区：[1]上海中医药大学附属市中医医院甲状腺乳腺外科,上海市200071 [2]上海中医药大学附属市中医医院护理部,上海市200071 [3]上海中医药大学附属市中医医院肿瘤五科,上海市200071

出　　处：《中华护理杂志》2023年第17期2088-2094,共7页Chinese Journal of Nursing

基　　金：2022年复旦大学循证护理中心证据转化与临床应用项目(2022-08)。

摘　　要：目的检索、评价和总结乳腺癌相关淋巴水肿患者中医护理的最佳证据,为临床护理实践提供参考。方法按照“6S”模型检索相关文献,包括指南、专家共识、证据总结、临床决策、系统评价、Meta分析,检索时限为建库至2023年4月。由2名研究者对文献质量进行评价,并对证据进行提取、整合。结果共纳入13篇文献。其中3篇指南,3篇专家共识,3篇证据总结,4篇系统评价。从水肿病因及评估、中药外敷、中药熏洗、艾灸、穴位按摩、运动指导等6个方面汇总了16条最佳证据。结论中医护理是治疗乳腺癌相关淋巴水肿的有效方法,且无不良反应,但由于纳入文献的方法学质量不高,该结论需要高质量随机对照试验进一步证实。Objective To retrieve,evaluate and summarize the best-quality evidence on traditional Chinese medicine nursing for patients with breast cancer-related lymphedema.Methods According to the“6S”model,we used an evidence-based nursing method to retrieve relevant literature.The literature included guidelines,expert consensuses,evidence summaries,clinical decisions,systematic reviews,meta-analyses and original researches.Selected publications were from the earliest date in the database to April 30,2023.There were 2 researchers who evaluated the quality of literature and extracted and integrated evidence from the included articles.Results In total,13 publications were included,involving 3 sets of guidelines,3 expert consensuses,3 evidence summaries,4 systematic reviews.Ultimately,we summarized 16 pieces of the best-quality evidence on the etiology and evaluation of edema,external application of traditional Chinese medicine,traditional Chinese medicine fumigation and washing,moxibustion,acupressure point massage,traditional Chinese medicine diet nursing,and sports guidance.Conclusion Traditional Chinese medicine nursing is an effective treatment for patients with breast cancer-related lymphedema and does not have adverse reactions.However,as the quality of methodology in this study might be not too high,this conclusion may need to be further confirmed by high-quality randomized controlled trials.

关 键 词：乳腺癌 淋巴水肿 中医护理学 证据总结 循证护理学 

分 类 号：R248.9[医药卫生—中医临床基础]