摘要
目的:检索并筛选稳定期慢性阻塞性肺疾病自我管理干预相关证据.方法:系统检索UpToDate、BMJ最佳临床实践、JBI、Cochrane Library、Pubmed、Web of Science、Embase、医脉通、中国知网、CBM、万方、维普等数据库及指南网中关于稳定期慢性阻塞性肺疾病自我管理干预的指南等证据.由2名研究者进行文献质量评价,结合专家会议审核证据并给出级别推荐.结果:共纳入13篇文献,在稳定期COPD自我管理干预目标、干预原则、评估内容、自我管理干预内容、随访教育、应急管理6方面提取并形成23条相关证据.结论:稳定期慢性阻塞性肺疾病病人自我管理干预证据内容丰富,医护人员需根据医院实际,考虑病人意愿,科学制定干预决策,从而改善病人健康状况.
Abstract
Objective:To search and select the relevant evidence of self-management interventions in patients with stable chronic obstructive pulmonary disease (COPD) .Methods:Guidelines and other evidence on the self-management interventions in patients with stable COPD were systemically searched in the following websites and databases:the UpToDate,BMJ Best Practice,JBI,Cochrane Library,PubMed,Web of Science,Embase,CNKI,CBM,Wanfang Data,and VIP database and guide networks.The literature quality evaluation was conducted by 2 investigators,and the evidence was reviewed in conjunction with the expert meeting and the level recommendation was given.Results:A total of 13 articles were included,and 23 pieces of evidence were summarized in 6 aspects,including the self-management intervention objectives,intervention principles,assessment content,self-management intervention content,follow-up education and emergency management in patients with stable COPD.Conclusions:The evidence of self-management interventions for patients with stable COPD is abundant,and health care professionals should develop scientific intervention strategies based on the actual conditions of the hospital and the wishes of patients to improve the health outcomes of these patients.
基金项目
蚌埠医学院自然科学研究重点项目(2021byzd036)
安徽省高等学校人文社会科学研究重大项目(SK2019ZD16)
国家级大学生创新训练项目(202010367005)