成人支气管哮喘患者出院准备服务的最佳证据总结  

Summary of best evidence on discharge preparation services for adult patients with bronchial asthma

作　　者：白林婷 李淑英[2] 陈亚静[3] 石杰 牛彩丽 王雪敏 冉欣欣 Bai Linting;Li Shuying;Chen Yajing;Shi Jie;Niu Caili;Wang Xuemin;Ran Xinxin(School of Nursing,Chengde Medical University,Chengde 067000,China;Department of Nursing,Affiliated Hospital of Chengde Medical University,Chengde 067000,China;Department of Anesthesiology,Affiliated Hospital of Chengde Medical University,Chengde 067000,China;Department of Respiratory,Affiliated Hospital of Chengde Medical University,Chengde 067000,China)

机构地区：[1]承德医学院护理学院,承德067000 [2]承德医学院附属医院护理部,承德067000 [3]承德医学院附属医院麻醉科,承德067000 [4]承德医学院附属医院呼吸科,承德067000

出　　处：《中华现代护理杂志》2025年第2期176-183,共8页Chinese Journal of Modern Nursing

基　　金：承德市科技计划自筹经费项目(202204A072)。

摘　　要：目的检索、评价并汇总国内外关于成人支气管哮喘患者出院准备服务的最佳证据,为临床实践与标准制订提供参考。方法计算机检索BMJ Best Practice、UpToDate、PubMed、澳大利亚乔安娜布里格斯研究所循证卫生保健中心数据库、Cochrane Library、Embase、CINAHL、Web of Science、中国知网、万方数据库、中国生物医学文献数据库等数据库,以及相关指南网站及专业网站中与成人支气管哮喘患者出院准备服务相关的临床决策、指南、专家共识、证据总结、系统评价,检索时限均为建库至2024年6月30日。由2名研究人员独立对纳入文献进行质量评价,证据提取及整合。结果共纳入14篇文献,其中指南5篇、专家共识4篇、系统评价5篇。从出院准备目的、出院准备原则、住院期间的健康指导、出院前准备、出院时指导、出院后随访6个方面总结出23条证据。结论本研究总结的成人支气管哮喘患者出院准备服务的最佳证据,临床医护人员可以结合我国具体临床情境应用于临床,帮助成人支气管哮喘患者更好地进行自我管理。ObjectiveTo search,evaluate,and summarize the best evidence regarding discharge preparation services for adult patients with bronchial asthma,providing references for clinical practice and guideline development.MethodsA computer search was conducted in BMJ Best Practice,UpToDate,PubMed,Australia Joanna Briggs Institute Evidence-based Healthcare Center Database,Cochrane Library,Embase,CINAHL,Web of Science,China National Knowledge Infrastructure,Wanfang Database,and China Biology Medicine disc,as well as relevant guideline and professional websites.The search period covered from the establishment of the databases to June 30,2024.Two researchers independently conducted quality assessments of the included literature,evidence extraction,and synthesis.ResultsA total of 14 articles were included,comprising five guidelines,four expert consensus,and five systematic reviews.Twenty-three pieces of evidence were summarized across six aspects:discharge preparation objectives,discharge preparation principles,health guidance during hospitalization,pre-discharge preparation,discharge instructions,and post-discharge follow-up.ConclusionsThe best evidence for discharge preparation services for adult patients with bronchial asthma summarized in this study can be applied by clinical healthcare providers in China,considering the specific clinical context,to help adult patients with bronchial asthma manage their condition.

关 键 词：支气管哮喘 出院准备服务 最佳证据 循证护理学 

分 类 号：R47[医药卫生—护理学]