超重/肥胖银屑病患者非药物体重管理的最佳证据总结  

Summary of the Best Evidence for Non Pharmacological Weight Management in Overweight/Obese Psoriasis Patients

作　　者：赵玉洁 李莉[2] 李婉生 孙萍[2] カルデナス暁東 崔红宙[5] ZHAO Yujie;LI Li;LI Wansheng;SUN Ping;CARDENAS Xiaodong;CUI Hongzhou(Academy of Medical Sciences,Shanxi Medical University,Taiyuan 030001,Shanxi Province,China;Department of Nursing,First Hospital of Shanxi Medical University,Taiyuan 030001,Shanxi Province,China;Nutrition Department,Shanxi Medical University;Japanese Red Cros,Toyota University of Nursing,471-8565 Shirayamachi,Toyota City,Aichi Prefecture,Japan;Department of Dermatology,First Hospital of Shanxi Medical University)

机构地区：[1]山西医科大学医学科学院,山西太原030001 [2]山西医科大学第一医院护理部,山西太原030001 [3]山西医科大学护理学院 [4]日本红十字会丰田护理大学,爱知县丰田市白山町471-8565 [5]山西医科大学第一医院皮肤科

出　　处：《军事护理》2025年第2期103-107,共5页MILITARY NURSING

基　　金：中日笹川医学奖学金项目(国卫办国际函[2021]85号);山西省自然科学研究面上项目(202103021224396)。

摘　　要：目的 检索、评价和总结超重/肥胖银屑病患者非药物体重管理的最佳证据,为临床应用提供参考。方法 依照“6S”金字塔模型,系统检索国内外指南网站、数据库以及相关专业协会网站中关于银屑病超重/肥胖的临床决策、指南、系统评价、专家共识及随机对照研究,检索时限为建库至2024年3月。经循证培训的2位研究者独立对纳入文献进行评价并提取证据。结果 共纳入14篇文献,其中临床决策1篇、指南5篇、专家共识2篇、系统评价5篇及随机对照研究1篇。从评估与监测、多学科管理与获益、饮食管理、运动管理等4个方面总结出31条证据。结论 总结的最佳证据具有科学性和实用性,运用此证据时需依据患者实际情况制订个性化体重管理计划。Objective To retrieve,evaluate,and summarize the best evidence for non-pharmacological weight management in patients with psoriasis who are overweight or obese,and to provide a reference for clinical application.Methods According to the“6S”pyramid model,the clinical decisions,guidelines,systematic reviews,expert consensus and randomized controlled studies on overweight/obesity in psoriasis were systematically searched in domestic and foreign guideline websites,databases and websites of relevant professional associations.The search time was from the inceptions to March 2024.Two researchers with evidence-based training independently evaluated the included literature and extracted evidence.Results A total of 14 articles were included,with 1 clinical decision,5 guidelines,2 expert consensus,5 systematic reviews and 1 randomized controlled study.Thirty-one pieces of evidence were summarized from four aspects:assessment and monitoring,multidisciplinary management and benefit,diet management,and exercise management.Conclusions The best evidence summarized is scientific and practical,and the use of this evidence should be based on the actual situation of patients to develop a personalized weight management plan.

关 键 词：银屑病 超重/肥胖 生活行为 体重管理 证据总结 

分 类 号：R47-05[医药卫生—护理学] R473.58[医药卫生—临床医学]