中轴型脊柱关节炎患者自我管理的最佳证据总结  

Evidence summary of self-management for patients with axial spondyloarthritis

作　　者：曾友 袁敏[2] 明晶 孙淑雅 ZENG You(Department of Nursing,Chengdu University of Traditional Chinese Medicine,Chengdu 610072,Sichuan,China)

机构地区：[1]成都中医药大学护理学院,四川成都610072 [2]重庆市中医院急诊科,重庆400011

出　　处：《牡丹江医学院学报》2024年第6期51-57,共7页Journal of Mudanjiang Medical University

摘　　要：目的 评价和总结中轴型脊柱关节炎患者自我管理的最佳证据。方法 计算机检索指南网站、专业学会网站和综合数据库中关于中轴型脊柱关节炎患者自我管理的指南、专家共识、临床决策、系统评价等证据。检索时间为建库至2023年10月1日。由2名研究者独立进行文献质量评价和证据提取。结果 共纳入23篇文献。包括1篇临床决策、4篇指南、13篇专家共识及建议、1篇证据总结、4篇系统评价。从目标和原则、评估与监测、运动管理、药物管理、饮食营养管理、社会心理支持6个方面汇总了31条证据。结论 总结了中轴型脊柱关节炎患者自我管理的最佳证据,为医务人员指导患者进行自我管理提供了循证依据,证据应用和转化过程中应充分考虑我国社会资源、临床实际和患者的个体差异。Objective To evaluate and summarize the best evidence for self-management in patients with axial spondyloarthritis,and to improve the evidence-based basis for improving the quality of self-management in these patients.Methods A computer-assisted search was conducted for self-management guidelines,expert consensus,clinical decisions,and systematic reviews related to self-management in axial spondylarthritis patients.The search included databases from guideline websites,professional society websites,and comprehensive databases,up to October 1,2023.Two researchers independently performed literature quality assessment and evidence extraction.Results A total of 23 articles were included,including 1 clinical decision-making,4 guidelines,13 expert consensus statements,1 evidence summary and 4 systematic reviews.A total of 31 best evidences were summarized from six aspects:goal setting and principles,assessment and monitoring,exercise management,pharmacological management,dietary and nutritional management,and psychosocial support.Conclusion The best evidence for self-management in patients with axial spondyloarthritis is summarised,providing an evidence-based basis for medical staff to guide patients in self-management,and the process of applying and translating the evidence should take into full consideration of China's social resources,clinical realities,and patient individuality.

关 键 词：中轴型脊柱关节炎 强直性脊柱炎 自我管理 循证护理学 

分 类 号：R681.53[医药卫生—骨科学]