癌症相关性抑郁非药物管理的最佳证据总结  

Summary of the best evidence for non-pharmacological management of cancer-related depression

作　　者：姚佳盈 李英[2] 赵梦琴 沈欣怡 王俊辉 徐妍 梅晓凤 浦丽敏 陈肖敏[2] YAO Jiaying;LI Ying;ZHAO Mengqin;SHEN Xinyi;WANG Junhui;XU Yan;MEI Xiaofeng;PU Limin;CHEN Xiaomin(School of Nursing,Zhejiang Chinese Medicine University,Zhejiang 310053 China)

机构地区：[1]浙江中医药大学护理学院,浙江310053 [2]浙江省人民医院

出　　处：《循证护理》2024年第6期958-963,共6页Chinese Evidence-Based Nursing

基　　金：浙江省医药卫生科技计划项目,编号:2023KY042,2024KY708。

摘　　要：目的:检索、评价和整合癌症相关性抑郁非药物管理的相关证据,为临床实践提供参考。方法:使用PIPOST工具明确循证问题,系统检索国内外数据库、指南网站、计算机决策系统及专业学会网站中关于癌症相关性抑郁非药物管理的相关证据,包括临床决策、指南、证据总结、系统评价、专家共识和原始研究。检索时限为建库至2023年6月15日。结果:共纳入15篇文献,包括临床决策2篇、指南8篇、系统评价4篇、专家共识1篇。总结了筛查与评估、心理干预、运动管理、中医护理、补充疗法、健康教育、监督与转诊7个方面共25条最佳证据。结论:本研究总结的癌症相关性抑郁非药物管理的最佳证据可为医护人员临床指导提供循证依据,建议医护人员根据临床情景应用证据,完善癌症相关性抑郁管理的护理措施。Objective:To search,evaluate and integrate the relevant evidence of non-drug management of cancer-related depression,and to provide reference for clinical practice.Methods:The PIPOST tool was used to identify evidence-based questions.Relevant evidence on the non-drug management of cancer-related depression,including clinical decisions,guidelines,evidence summaries,systematic reviews,expert consensus,and original studies,was retrieved from national and international databases,guidelines websites,computer decision systems,and professional society websites.The search deadline was from the establishment of each database until June 15,2023.Results:A total of 15 articles were included,including 2 clinical decisions,8 guidelines,4 systematic reviews,and 1 expert consensus.A total of 25 best evidences were summarized in 7 aspects:screening and assessment,psychological intervention,exercise management,traditional Chinese medicine nursing,complementary therapy,health education,supervision and referral.Conclusion:This study summarizes the best evidence of non-drug management of cancer-related depression,provides evidence-based evidence for clinical guidance of medical staff,and suggestes that medical staff should apply evidence according to clinical scenarios to improve nursing measures for the management of cancer-related depression.

关 键 词：癌症 抑郁 管理 循证护理 证据总结 

分 类 号：R473[医药卫生—护理学]