间质性肺疾病患者呼吸困难管理的证据总结  

Summary of evidence on management of dyspnea in patients with interstitial lung disease

作　　者：王慧芳[1] 孙红霞[1] 刘迪[1] 粘文君 修麓璐[1] Wang Huifang;Sun Hongxia;Liu Di;Nian Wenjun;Xiu Lulu(Respiratory Intensive Care Unit,South Hospital,the Affiliated Hospital of Qingdao University,Qingdao 266000,China)

机构地区：[1]青岛大学附属医院市南院区呼吸与危重症医学科,青岛266000

出　　处：《中华现代护理杂志》2025年第13期1737-1744,共8页Chinese Journal of Modern Nursing

摘　　要：目的总结间质性肺疾病患者呼吸困难管理的相关证据。方法计算机检索UpToDate、BMJ Best Practice、美国胸科协会、英国国家卫生与临床优化研究所、乔安娜布里格斯研究所循证卫生保健中心数据库、Cochrane Library、PubMed、Embase、Web of Science、中国知网、中国生物医学文献数据库、万方数据库等数据库和网站中关于间质性肺疾病患者呼吸困难管理的相关文献,检索时限为建库至2024年4月30日。采用文献相应的质量评价标准对纳入文献进行质量评价,并提取资料。结果共纳入18篇文献,包括3篇临床决策、9篇指南、3篇专家共识、2篇系统评价和1篇证据总结。最终从呼吸困难评估、氧气治疗、肺康复、药物治疗、其他5个方面汇总了24条证据。结论本研究总结了间质性肺疾病患者呼吸困难管理的最佳证据,可以为医护人员制订相应的干预措施提供参考。医护人员需结合文化背景、临床情境及患者意愿制订呼吸困难管理策略。Objective To summarize the evidence on managing dyspnea in patients with interstitial lung disease(ILD).Methods Literature on the management of dyspnea in patients with ILD was electronically searched in UpToDate,British Medical Journal(BMJ)Best Practice,American Thoracic Society,National Institute for Health and Clinical Excellence,Joanna Briggs Institute Evidence-Based Health Care Center Database,Cochrane Library,PubMed,Embase,Web of Science,China National Knowledge Infrastructure,China Biology Medicine disc,WanFang Data and other databases and websites.The search period was from database establishment to April 30,2024.The quality of the included literature was evaluated using the corresponding quality assessment criteria of the literature,and the information was extracted.Results A total of 18 articles were included,including three clinical decisions,nine guidelines,three expert consensus,two systematic reviews,and one evidence summary.Twenty-four pieces of evidence were ultimately summarized in five areas:dyspnea assessment,oxygen therapy,pulmonary rehabilitation,medication,and others.Conclusions This study summarizes the best evidence for managing of dyspnea in patients with ILD,which can inform the development of appropriate interventions by healthcare professionals.Healthcare professionals need to develop dyspnea management strategies that consider the cultural context,clinical situation,and patient's willingness.

关 键 词：肺疾病 间质性 呼吸困难 证据总结 循证护理学 

分 类 号：R563.9[医药卫生—呼吸系统]