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作 者:谭旭 赵文雅[1] 辛萍 汪欢[1] 徐娜 孙丽[1] TAN Xu;ZHAO Wenya;XIN Ping;WANG Huan;XU Na;SUN Li(Union Hospital Tongji Medical College,Huazhong University of Science and Technology,Hubei 430000 China)
机构地区:[1]华中科技大学同济医学院附属协和医院,湖北430000
出 处:《循证护理》2024年第14期2499-2504,共6页Chinese Evidence-Based Nursing
摘 要:目的:检索、评价和总结肺癌病人癌性疼痛药物性干预护理管理的相关证据,为临床提供参考。方法:按照“6S”模型检索相关文献,包括临床决策、指南、证据总结、专家共识、系统评价等。检索时限为建库至2023年8月14日。由2名研究者对文献质量进行评价和资料提取。结果:共纳入17篇文献。其中4篇临床决策,6篇指南,7篇专家共识。从癌性疼痛的评估、评估工具的选择和药物性干预管理3个主题汇总了26条最佳证据。结论:总结的针对肺癌病人癌性疼痛药物性干预护理管理的最佳证据具有一定的科学性与实用性,可为医护人员有针对性地开展证据应用提供循证依据,以更好地指导临床实践,保障肺癌病人癌性疼痛的合理治疗与用药安全。Objective:To search,evaluate and summarize the relevant evidence of drug intervention nursing management for cancer pain in patients with lung cancer,and to provide reference for clinical practice.Methods:According to the"6S"model,relevant literature was searched,including clinical decision,guidelines,evidence summary,expert consensus,systematic review,etc.The search deadline was from database establishment to August 14,2023.Two researchers evaluated the quality of the literature and extracted the data.Results:A total of 17 articles were included.There were four clinical decisions,six guidelines,and seven expert consensus.A total of 26 best pieces of evidence were compiled from three themes:assessment of cancerous pain,selection of assessment tools,and management of pharmacological interventions.Conclusion:The best evidence summarized in this study for drug intervention nursing management of cancerous pain in lung cancer patients has certain scientific and practical significance,which can provide evidence-based basis for medical staff to carry out targeted evidence application,better guide clinical practice,and ensure the rational treatment and medication safety of cancerous pain in lung cancer patients.
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