白血病化疗患儿胃肠道症状群护理的证据总结  

Evidence summary for nursing of gastrointestinal symptoms in children with leukemia undergoing chemotherapy

作　　者：谭苏芳 毛琴 毛孝容[3] 罗银霞 曾霞[4] 周娟[5] TAN Sufang;MAO Qin;MAO Xiaorong;LUO Yinxia;ZENG Xia;ZHOU Juan(School of Nursing,Chengdu University of Traditional Chinese Medicine,Chengdu,610075,China)

机构地区：[1]成都中医药大学护理学院,成都市610075 [2]四川省医学科学院·四川省人民医院(电子科技大学附属医院)门诊儿科 [3]四川省医学科学院·四川省人民医院(电子科技大学附属医院)护理部外科综合片区 [4]四川省医学科学院·四川省人民医院(电子科技大学附属医院)急救中心 [5]四川省医学科学院·四川省人民医院(电子科技大学附属医院)儿科2 [6]广安职业技术学院医学院

出　　处：《中国护理管理》2024年第9期1341-1346,共6页Chinese Nursing Management

基　　金：四川省科技厅重点研发项目(23ZDYF2075);成都市科技局科技创新研发项目(2022-YF05-01621-SN);四川省医学科学院·四川省人民医院(电子科技大学附属医院)院科研基金资助项目(2021ZX08)。

摘　　要：目的:检索、评价并总结国内外关于白血病化疗患儿胃肠道症状群护理的证据,为临床实践提供循证依据。方法:根据“6S”证据资源模型,系统检索国内外数据库、相关指南网站及专业学会网站中与白血病化疗患儿胃肠道症状群护理有关的文献,检索时限为建库至2024年5月9日。研究者进行文献质量评价、提取并整合证据。结果:共纳入14篇文献,其中临床决策3篇、指南4篇、系统评价2篇、专家共识3篇、随机对照试验2篇。从组织管理、控制目标、危险因素、健康教育、症状管理5个方面汇总了16条证据。结论:总结的白血病化疗患儿胃肠道症状群护理证据可为临床实践提供参考,医务工作者应结合患儿症状和实际需求提供个体化治疗及护理,并及时更新相关证据。Objective:To retrieve,evaluate and summarize the evidence on nursing of gastrointestinal symptom cluster in children with leukemia undergoing chemotherapy at home and abroad,and provide evidence-based basis for clinical practice.Methods:According to the"6S"evidence model,literature related to the nursing of gastrointestinal symptoms in children with leukemia undergoing chemotherapy were systematically searched in domestic and foreign databases,relevant guide websites and professional society websites from the inception of database to May 9,2024.Researchers evaluated the quality of the literature,extracted and integrated evidence.Results:A total of 14 articles were included,including 3 clinical decisions,4 guidelines,2 systematic reviews,3 expert consensus,and 2 randomized controlled trials.A total of 16 pieces of evidence were summarized from 5 aspects,including organizational management,control objectives,risk factors,health education,symptom management.Conclusion:This study summarizes the evidence of nursing of gastrointestinal symptom clusters in children with leukemia undergoing chemotherapy,which can provide reference for clinical practice.Individualized treatment and nursing care should be provided according to the symptoms and actual needs of the child,and relevant evidence should be updated in time.

关 键 词：白血病 化疗 消化系统体征和症状 证据总结 循证护理学 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]