病人及照护者参与疼痛评估的最佳证据总结  

Summary of best evidence on patients and caregivers participating in pain assessment

作　　者：杨飒 张俊娟[1] 贾曼 李佳佳 于文静 YANG Sa;ZHANG Junjuan;JIA Man;LI Jiajia;YU Wenjing(Henan Provincial People′s Hospital,Henan 450003 China)

机构地区：[1]河南省人民医院,450003

出　　处：《全科护理》2024年第9期1601-1606,共6页Chinese General Practice Nursing

摘　　要：目的:全面检索并整合国内外有关病人及照护者参与疼痛评估的相关证据,为临床工作提供循证依据。方法:按照6S证据资源金字塔模型,通过计算机检索UpToDate、BMJ Best Practice、the Cochrane Library、澳大利亚乔安娜布里格斯研究所(Joanna Briggs Institute,JBI)循证卫生保健国际合作中心图书馆、英国国家卫生与临床优化研究所(National Institute for Health and Clinical Excellence,NICE)、美国医疗保健研究与质量局(The Agency for Healthcare Research and Quality,AHRQ)、医脉通、PubMed、Web of Science、CINAHL(护理联合健康文献累积索引,EBSCO平台)、Embase、中国生物医学文献数据库(China Biology Medical Database,CBM)、中国知网(CNKI)、万方数据库、维普数据库及相关协会网站(The Registered Nurses′Association of Ontario)。从以上数据库检索关于照护者参与疼痛管理的文献,检索时限为2011年1月1日—2023年3月31日,纳入的文献类型包括临床实践指南、系统评价、Meta分析和证据总结。由2名研究者独立对文献进行质量评价,结合专业判断对纳入文献进行证据提取。结果:最终纳入28篇文献,其中16篇指南,1篇专家共识,11篇系统评价,总结了25条最佳证据,分为告知、激活、合作3个方面。结论:本研究总结的最佳证据具有科学性与实用性,医护人员可遵循最佳证据指导病人及照护者参与疼痛评估,促进循证实践的开展。Objective:To retrieve and integrate relevant domestic and international evidence on patients′and caregivers′participating in pain assessment,so as to provide evidence support for clinical work.Methods:The pertinent evidence of patients′and caregivers′involvement in pain assessment was systematically searched from domestic and foreign database and websites according to the 6S Pyramid.UpToDate,BMJ Best Practice,Cochrane Library,Joanna Briggs Institute Library,National Institute for Health and Clinical Excellence,The Agency for Healthcare Research and Quality,Medlive,PubMed,Web of Science,CINAHL,Embase,Chinese Biomedical Literature Database,China National Knowledge Infrastructure,Wanfang,VIP,and related association websites were searched for clinical decision making,guidelines,systematic reviews,Meta-analysis and evidence summaries.The search time limit was from January 2011 to March 2023.Two researchers independently evaluated the quality of relevant literature,and combined professional judgment to extract the best evidence from the final included literature.Results:A total of 28 articles were involved,including 16 guidelines,1 expert consensus,11 systematic reviews,and 25 pieces of the best evidence were formed on inform-activate-cooperate in three aspects.Conclusions:The best evidence summarized in this paper is scientific and practical,and medical staff can follow the best evidence to guide patients and caregivers to participate in pain assessment and promote implementing evidence-based practice.

关 键 词：病人 照护者 共同决策 疼痛评估 循证护理 

分 类 号：R47[医药卫生—护理学]