广泛性焦虑障碍病人非药物管理的最佳证据总结  

Summary of best evidence for non-pharmacological management in patients with generalized anxiety disorder

作　　者：黄楚贤 施忠英[1] 罗晨 蔡佳佳 刘玥 HUANG Chuxian;SHI Zhongying;LUO Chen;CAI Jiajia;LIU Yue(Shanghai Mental Health Center,Shanghai Jiao Tong University School of Medicine,Shanghai 200030 China;Xinhua Hospital,Shanghai Jiao Tong University School of Medicine)

机构地区：[1]上海交通大学医学院附属精神卫生中心,上海200030 [2]上海交通大学医学院附属新华医院

出　　处：《循证护理》2025年第8期1501-1509,共9页Chinese Evidence-Based Nursing

基　　金：2024年度上海市护理学会科研课题,编号:2024QN-B03;上海现代护理职业教育集团特聘兼职教师资助计划,编号:hlzjtpgr202316;上海市护理学会2025年优秀青年人才育苗计划。

摘　　要：目的:检索、评价和整合广泛性焦虑障碍病人非药物管理的相关证据。方法:系统检索国内外计算机决策系统、指南网、专业协会网站及数据库中关于广泛性焦虑障碍病人非药物管理的文献,检索时限从建库2024年4月。由3名研究者独立进行文献筛选和质量评价,根据主题进行证据提取、归纳和汇总。结果:共纳入23篇文献,包括4篇临床决策、2篇证据总结、11篇指南、4篇系统评价、2篇随机对照试验;最终形成了从治疗联盟、管理目标与原则、综合评估、心理干预、运动干预、中医护理、物理干预、病人指导8个方面,共28条最佳证据。结论:本研究总结了广泛性焦虑障碍病人非药物管理的最佳证据。建议精神科护理工作者在后续证据转化过程中应结合临床情境和病人偏好,有针对性地选择并应用证据,以改善病人预后。Objective:To retrieve,evaluate,and integrate relevant evidence on non-pharmacological management of patients with generalized anxiety disorder.Methods:A systematic search for literature on non-pharmacological management of patients with generalized anxiety disorder in domestic and foreign computer decision-making systems,guideline websites,professional association websites and databases,were conducted with a search deadline starting from April 2024 when the database was established.Totally 3 researchers independently conducted literature screening and quality evaluation,extracting,summarizing,and consolidating evidence based on the topic.Results:A total of 23 articles were included,including 4 clinical decisions,2 evidence summaries,11 guidelines,4 systematic reviews,and 2 randomized controlled trials.Ultimately,28 pieces of best evidence were formed from 8 aspects:treatment alliance,management goals and principles,comprehensive evaluation,psychological intervention,exercise intervention,traditional Chinese medicine nursing,physical intervention,and patient guidance.Conclusion:This study summarizes the best evidence for non pharmacological management in patients with generalized anxiety disorder.It is recommended that psychiatric nursing staff should select and apply evidence in a targeted manner based on clinical context and patient preferences during the subsequent evidence conversion process to improve patient prognosis.

关 键 词：广泛性焦虑障碍 非药物管理 证据总结 循证护理 

分 类 号：R473.74[医药卫生—护理学]