精神分裂症患者幻听症状管理的证据总结  

Evidence summary for the symptom management of auditory hallucination in patients with schizophrenia

作　　者：金晓超 施忠英[2] 李丽[2] 周英凤[5] 刘晓 JIN Xiaochao;SHI Zhongying;LI Li;ZHOU Yingfeng;LIU Xiao(Psychiatry Department,Shanghai Mental Health Center,Shanghai Jiao Tong University School of Medicine,Shanghai,200030,China)

机构地区：[1]上海交通大学医学院附属精神卫生中心普通精神科,上海市200030 [2]上海交通大学医学院附属精神卫生中心护理部,上海市200030 [3]上海交通大学医学院附属精神卫生中心特需病区,上海市200030 [4]上海交通大学护理学院 [5]复旦大学护理学院

出　　处：《中国护理管理》2024年第6期898-903,共6页Chinese Nursing Management

基　　金：2021年度上海市卫生健康委员会科研项目(202150047);2020年度上海市卫生健康委员会卫生行业临床研究专项青年项目(20204Y0363);上海交通大学医学院2023年护理学科骨干人才队伍建设项目(SJTUHLXK2023);上海市精神卫生中心2021年度护理学科人才培养计划(2021HLRC-Q02)。

摘　　要：目的:总结国内外精神分裂症患者幻听症状管理的相关证据,为临床开展幻听症状管理实践提供参考。方法:系统检索国内外数据库及指南网站中精神分裂症患者幻听症状管理的相关文献,检索时限为建库至2023年2月,由4名研究者独立进行文献质量评价、证据提取和总结。结果:共纳入16篇文献,包括指南7篇、专家共识1篇、系统评价4篇、随机对照试验3篇、类实验研究1篇,从建立治疗联盟、评估、药物治疗、非药物管理、共病治疗、质量控制6个方面总结了28条证据。结论:本研究总结的精神分裂症患者幻听症状管理的证据为临床实践提供了参考,建议后续进行临床转化,提高护理质量,增强患者对幻听症状的自我管理能力。Objective:To integrate relevant evidence on the symptom management of auditory hallucination in patients with schizophrenia and to provide references for clinical practice.Methods:We systematically searched the evidence of the symptom management of auditory hallucination in patients with schizophrenia from domestic and foreign databases,including clinical decisions,clinical practice guidelines,systematic reviews and expert consensuses and so on.The time for the retrieval was from the inception of databases until February 2023.Results:Totally 16 literature were involved,including 7 guidelines,1 expert consensus,4 systematic reviews,3 randomized controlled trials,and 1 quasi experimental research.Finally,28 pieces of evidence were summarized.Conclusion:The evidence for the symptom management of auditory hallucination in patients with schizophrenia provides evidence-based references for clinical practice.The evidence-based transformation should put into effects,in order to improve the quality of nursing,and enhance the self-management ability about the symptom management of auditory hallucination.

关 键 词：精神分裂症 幻听 症状管理 非药物管理 证据总结 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]