成人恶性肿瘤患者失眠筛查与评估的证据总结  

Summary of evidence for insomnia screening and assessment in adult malignant tumor patients

作　　者：赵艺媛[1] 何双智 张叶宁[2] 侯晓婷[3] 庞冬[4] 李湘萍[4] 张灵儿 赵舸争 Zhao Yiyuan;He Shuangzhi;Zhang Yening;Hou Xiaoting;Pang Dong;Li Xiangping;Zhang Linger;Zhao Gezheng(Head and Neck Surgery,Peking University Cancer Hospital&Beijing Institute for Cancer Research&Key Laboratory of Ministry of Education on Pathogenesis and Transformation of Malignant Tumors,Beijing 100142,China;Rehabilitation Department,Peking University Cancer Hospital&Beijing Institute for Cancer Research&Key Laboratory of Ministry of Education on Pathogenesis and Transformation of Malignant Tumors,Beijing 100142,China;First Department of Thoracic Medicine,Peking University Cancer Hospital&Beijing Institute for Cancer Research&Key Laboratory of Ministry of Education on Pathogenesis and Transformation of Malignant Tumors,Beijing 100142,China;School of Nursing,Peking University,Beijing 100191,China)

机构地区：[1]北京大学肿瘤医院暨北京市肿瘤防治研究所头颈外科,恶性肿瘤发病机制及转化研究教育部重点实验室,北京100142 [2]北京大学肿瘤医院暨北京市肿瘤防治研究所康复科,恶性肿瘤发病机制及转化研究教育部重点实验室,北京100142 [3]北京大学肿瘤医院暨北京市肿瘤防治研究所胸内一科,恶性肿瘤发病机制及转化研究教育部重点实验室,北京100142 [4]北京大学护理学院,北京100191

出　　处：《中华现代护理杂志》2024年第14期1911-1917,共7页Chinese Journal of Modern Nursing

基　　金：北大循证护理专项研究基金(XZJJ-2022-13)。

摘　　要：目的系统检索、评价并汇总成人恶性肿瘤患者失眠筛查与评估的相关证据。方法系统检索临床决策支持系统、各类指南网站、文献数据库及专业协会网站中关于恶性肿瘤患者失眠筛查与评估的临床决策、指南与专家共识,进行方法学的质量评价,并进行证据提取、翻译与整合。结果共纳入8篇文献,包括3篇临床决策、2篇循证指南、3篇专家共识,通过证据提取与汇总后,共获取包括管理总则、失眠筛查、失眠评估3个方面共38条证据。结论应当根据循证的标准,结合国内具体临床情境,对成人恶性肿瘤患者的筛查和失眠进行规范管理。Objective To systematically retrieve,evaluate,and summarize evidence on insomnia screening and assessment in adult malignant tumor patients.Methods The clinical decisions,guidelines,and expert consensus on screening and assessing insomnia in malignant tumor patients were systematically searched in clinical decision support systems,guideline websites,literature databases,and professional association websites.This study conducted methodological quality evaluation and evidence extraction,translation,and integration.Results A total of 8 articles were included,including three clinical decisions,two evidence-based guidelines,and three expert consensuses.After extracting and summarizing evidence,38 pieces of evidence were obtained from three aspects of general management principles,insomnia screening,and insomnia assessment.Conclusions The insomnia screening and assessment in adult malignant tumor patients should be standardized according to evidence-based standards and combined with specific clinical situations in China.

关 键 词：肿瘤 失眠 筛查 评估 循证护理 证据总结 

分 类 号：R73-31[医药卫生—肿瘤]