老年人便秘非处方药物应用管理的最佳证据总结  

Best evidence for the application management of over-the-counter medications for constipation in the elderly

作　　者：李晶晶 韩柳 范雪燕 于秋爽 尹依依 屈简妮 郝玉芳[1] 张大华 Li Jingjing;Han Liu;Fan Xueyan;Yu Qiushuang;Yin Yiyi;Qu Jianni;Hao Yufang;Zhang Dahua(School of Nursing,Beijing University of Chinese Medicine,Beijing 100029,China;Department of Geriatrics,Beijing University of Chinese Medicine Third Affiliated Hospital,Beijing 100029,China;Department of Nursing,Beijing University of Chinese Medicine Third Affiliated Hospital,Beijing 100029,China)

机构地区：[1]北京中医药大学护理学院,北京100029 [2]北京中医药大学第三附属医院老年病科,北京100029 [3]北京中医药大学第三附属医院护理部,北京100029

出　　处：《中华现代护理杂志》2024年第31期4241-4246,共6页Chinese Journal of Modern Nursing

基　　金：2023年北京中医药大学研究生自主科研课题(ZJKT2023071)。

摘　　要：目的检索、评价并总结老年人便秘非处方药物应用管理的相关证据,为促进老年人便秘非处方药物合理应用提供循证依据。方法系统检索计算机决策支持系统、指南网站、相关专业协会网站以及数据库中关于老年人便秘非处方药物应用管理的临床决策、指南、证据总结和专家共识。检索时限为2018年1月—2023年3月,对文献进行独立质量评价并提取证据。采用2014版澳大利亚乔安娜布里格斯研究所证据分级系统确定证据等级。结果共纳入文献18篇,包括临床决策2篇、指南5篇、专家共识7篇和证据总结4篇,围绕不同特点的老年便秘人群的用药原则、药物选择、用药监测、健康教育和注意事项5个方面,共汇总30条最佳证据。结论本研究总结了老年人便秘非处方药物应用管理的最佳证据,为推动老年人便秘非处方药物合理应用提供了循证依据。ObjectivesTo search,evaluate,and summarize the evidence related to the application management of over-the-counter(OTC)medications for constipation in the elderly,providing evidence-based support for the rational use of these medications.MethodsA systematic search was conducted through computerized decision support systems,guideline websites,professional association websites,and databases for clinical decisions,guidelines,evidence summaries,and expert consensus on the management of OTC medications for constipation in the elderly.The search period spanned from January 2018 to March 2023.The quality of the literature was independently assessed,and evidence was extracted.The 2014 version of the Joanna Briggs Institute(JBI)evidence grading system was used to determine the levels of evidence.ResultsA total of 18 article were included,consisting of two clinical decisions,five guidelines,seven expert consensus statements,and four evidence summaries.These covered five areas:medication principles for elderly individuals with different characteristics,medication selection,medication monitoring,health education,and precautions,culminating in a total of 30 best evidence.ConclusionsThis study summarizes the best evidence for the management of OTC medications for constipation in the elderly,providing evidence-based support for the rational application of these medications.

关 键 词：老年人 便秘 非处方药物 用药管理 循证护理 

分 类 号：R969.3[医药卫生—药理学]