女性压力性尿失禁患者非手术管理的最佳证据总结  

Summary of the best evidence for non-surgical management of women with stress urinary incontinence

作　　者：梅佳 胡泽林 吴美璇 秦殿菊 Mei Jia;Hu Zelin;Wu Meixuan;Qin Dianju(Internal Medicine Nursing Teaching and Research Office,School of Nursing,Chengde Medical University,Chengde 067000,China)

机构地区：[1]承德医学院护理学院内科护理教研室,承德067000

出　　处：《中华现代护理杂志》2024年第16期2155-2161,共7页Chinese Journal of Modern Nursing

摘　　要：目的探讨女性压力性尿失禁非手术管理的最佳证据,为有效防治相关疾病提供依据。方法按循证检索资源的"6S"分类模型检索UpToDate、BMJ Best Practice、各指南网、专业协会网站和中英文数据库中关于女性压力性尿失禁患者非手术管理的研究,包括临床决策、循证指南、系统评价、专家共识及随机对照试验,检索时限均为建库至2023年4月30日。结果共纳入13篇文献,其中临床决策3篇、指南5篇、专家共识1篇、系统评价4篇;总结的最佳证据包括筛查与评估、生活行为管理、功能训练和药物治疗4个方面共计27个条目。结论本研究总结的女性压力性尿失禁患者非手术管理的最佳证据可为临床医务人员科学、规范地管理女性压力性尿失禁提供指导,医务人员可结合我国国情和患者自身情况应用本证据。Objective To explore the best evidence of non-surgical management of stress urinary incontinence in women,so as to provide evidence for effective prevention and treatment of related diseases.Methods According to the"6S"classification model of evidence-based retrieval resources,the researches on non-surgical management of female patients with stress urinary incontinence were retrieved in UpToDate,BMJ Best Practice,major guideline websites,professional association websites and other Chinese and English databases,including clinical decision-making,evidence-based guidelines,systematic reviews,expert consensus and randomized controlled trials.The search period was from establishment of databases to April 30,2023.Results A total of 13 articles were included,including three clinical decisions,five guidelines,one expert consensus and four systematic evaluations.The best evidence summarized included 27 items in four aspects,such as screening and evaluation,lifestyle behavior management,functional training and medication treatment.Conclusions The best evidence for non-surgical management of female patients with stress urinary incontinence summarized in this study can provide guidance for clinical medical staff to manage female stress urinary incontinence scientifically and normatively.Medical personnel can apply this evidence according to the national conditions of China and patients'own conditions.

关 键 词：压力性尿失禁 非手术管理 循证护理 证据总结 

分 类 号：R473.71[医药卫生—护理学]