盆底肌训练防治产后尿失禁的最佳证据总结  

Summary of the best evidence for pelvic floor muscle training in the prevention and treatment of postpartum urinary incontinence

作　　者：张嘉瑜 闫欣[2] 段浩然 冯瑶 姚泽坤 张泽敏 白雪 Zhang Jiayu;Yan Xin;Duan Haoran;Feng Yao;Yao Zekun;Zhang Zemin;Bai Xue(School of Nursing,Shanxi Medical University,Taiyuan 030000,China;National Institution of Drug Clinical Trials,Shanxi Medical University,Taiyuan 030000,China)

机构地区：[1]山西医科大学护理学院,太原030000 [2]山西医科大学第一医院国家药物临床试验机构,太原030000

出　　处：《中华现代护理杂志》2024年第12期1604-1611,共8页Chinese Journal of Modern Nursing

摘　　要：目的总结盆底肌训练防治产后尿失禁的相关证据,为临床实践提供指导和借鉴。方法根据"6S"金字塔证据模型,检索UpToDate、BMJ Best Practice、英国国家卫生与临床优化研究所、苏格兰院际指南网、新西兰指南组网站、国际指南协作网、医脉通、澳大利亚JBI循证卫生保健中心图书馆、Cochrane Library、专业协会网站、Embase、PubMed、Web of Science、中国知网、中国生物医学文献数据库、万方数据库、维普网等中与盆底肌训练防治产后尿失禁有关的各类证据资源,包括临床决策、指南、系统评价等。检索时限为2013年3月—2023年3月,经由2名经过系统培训的研究人员对文献质量进行评价,证据整合和提取。结果最终纳入22篇文献,其中8篇临床决策、6篇指南、7篇系统评价、1篇专家共识。从产后尿失禁的危险因素、预防、评估、治疗和健康指导5个方面汇总了21条最佳证据。结论本研究总结了盆底肌训练防治产后尿失禁的最佳证据,便于医护人员对孕产妇进行科学性的尿失禁评估、盆底肌训练宣教及指导。Objective To summarize the evidence of pelvic floor muscle training for the prevention and treatment of postpartum urinary incontinence,providing guidance and reference for clinical practice.Methods According to the"6S"pyramid model,clinical decision-making,guidelines,and systematic reviews on pelvic floor muscle training for the prevention and treatment of postpartum urinary incontinence were searched in UpToDate,British Medical Journal(BMJ)Best Practice,National Institute for Health and Care Excellence,Scottish Intercollegiate Guideline Network,New Zealand Guideline Group,Guidelines International Network,Medlive,Joanna Briggs Institute(JBI)Evidence-Based Health Care Center Database,Cochrane Library,professional association website,Embase,PubMed,Web of Science,China National Knowledge Infrastructure,China Biology Medicine disc,WanFang Data,and VIP.The search period was from March 2013 to March 2023.Two trained researchers evaluated the quality of literature and integrated and extracted evidence.Results A total of 22 articles were included,including 8 clinical decision-making,6 guidelines,7 systematic reviews,and 1 expert consensus.Twenty-one best pieces of evidence were summarized from 5 aspects,consisting of risk factors,prevention,evaluation,treatment and health guidance for postpartum urinary incontinence.Conclusions The best evidence for the prevention and treatment of postpartum urinary incontinence through pelvic floor muscle training summarized is convenient for medical and nursing staff to conduct scientific urinary incontinence assessment,pelvic floor muscle training education and guidance for pregnant and postpartum women.

关 键 词：盆底肌训练 产后尿失禁 证据总结 循证实践 护理 

分 类 号：R473.71[医药卫生—护理学]