结直肠癌造口患者心理痛苦筛查及管理的最佳证据总结  

Screening and management of psychological distress in the patients with ostomy for colorectal cancer:a summary of best evidence

作　　者：吴衍娴 刘艺[1] 张珍 王小艳 吴悦 谭江红 Wu Yanxian;Liu Yi;Zhang Zhen;Wang Xiaoyan;Wu Yue;Tan Jianghong(Zhuzhou Clinical School,Jishou University,Jishou 416000,Hunan Province,China)

机构地区：[1]吉首大学株洲临床学院,湖南吉首416000

出　　处：《现代临床护理》2025年第2期74-82,共9页Modern Clinical Nursing

基　　金：湖南省自然科学课题,项目编号2022SJJ31023。

摘　　要：目的检索、评价和总结直肠癌造口患者心理痛苦筛查及管理的最佳证据。方法系统检索根据“6S”金字塔模型,采用计算机检索Cochrane Library,PubMed,Embase,CINAHL,Web of Science,中国知网、中国生物医学数据库、万方数据库、维普数据库、UpToDate、美国指南网、美国国立综合癌症指南网、英国国立指南网、苏格兰校际指南网、国际指南协作网、世界伤口造口失禁委员会网站、世界造口治疗师协会网站、中国医脉通指南网、中华护理学会网站关于结直肠癌造口心理痛苦筛查与管理的证据,包括指南、证据总结、专家共识、系统评价、Meta分析等。检索时限为建库至2024年6月20日。由2名研究者独立对文献质量进行评价及证据提取,与循证小组共同进行证据核对及整合。结果共纳入14篇文献,其中4篇指南、1篇专家共识、2篇证据总结、4篇Meta分析及3篇系统评价。包括筛查时机(1条)、筛查工具(1条)、筛查内容(3条)、药物干预(3条)、自我管理(3条)、心理支持(5条)、健康宣教(2条)7个类别,共18条证据。结论该研究总结的结直肠癌造口患者心理痛苦筛查及管理全面、科学,可为医护人员开展患者心理痛苦预防和护理提供循证依据。临床应用时,需结合科室、患者及家属的实际需求,制订科学的管理方案。Objective To retrieve,evaluate and summarise the best evidence on screening and management of psychological distress in patients who had ostomy for colorectal cancer.Methods Literatures on psychological distress screening and management in patients undergoing colorectal cancer ostomy were systematically searched across various websites and databases of home and abroad from inception to 20th June,2024 including Cochrane Library,PubMed,Embase,CINAHL,Web of Science,CNKI,Wangfang,VIP,UpToDate,National Guideline Clearing-house,National Comprehensive Cancer Network,the National Institute for Health and Care Excellence,Scottish Intercollegiate Guidelines Network,the International Guideline Collaboration Network,Wound,Ostomy and Continence Nurses Society,World Council of Enterostomal Therapists,Medlive,Chinese Nursing Association.The search aimed to identify evidence on psychological distress screening and management in patients with colorectal cancer and stomas,including guidelines,evidence summaries,expert consensuses,systematic reviews,and Meta-analyses.The search was limited to articles published from the inception of each database to 20th June,2024.The searched literature included guidelines,evidence summary,expert consensus,systematic review,meta-analysis,etc..Two researchers independently evaluated the quality of literature and extracted evidences,as well as checked and integrated the evidences together with a panel of evidence-based research experts.Results A total of 14 articles were included,comprising four guidelines,one expert consensus,two evidence summaries,four meta-analyses and three systematic reviews.The articles encompassed 7 dimensions with a total of 18 pieces of evidence,including one in screening timing,one in screening tools,3 in screening content,3 in drug intervention,3 in self-management,5 in psychological support and 2 in health education.Conclusion The evidence summarised in this study on the screening and management of psychological distress in patients who had ostomy for colorectal cancer i

关 键 词：肠造口 心理痛苦 筛查 管理 证据总结 

分 类 号：R473.6[医药卫生—护理学]