结直肠癌术后女性患者盆底康复管理的最佳证据总结
Summary of the best evidence for pelvic floor rehabilitation management in female patients after colorectal cancer surgery
陈传勤 1单世涵 2王芳 3何磊 1傅巧美 4陈璐3
作者信息
- 1. 江苏大学鼓楼临床医学院护理系(江苏南京,210008)
- 2. 南京大学医学院附属鼓楼医院结直肠外科
- 3. 南京大学医学院附属鼓楼医院神经外科
- 4. 南京大学医学院附属鼓楼医院外科
- 折叠
摘要
目的 检索并总结结直肠癌术后女性患者盆底康复管理的最佳证据,为医护人员进行科学有效的盆底康复管理提供循证依据.方法 计算机检索2010年1月至2023年2月国内外有关指南网站和数据库中结直肠癌术后女性患者盆底康复管理的文献,对所纳入文献进行方法学质量评价后,对证据进行汇总、分级并归纳主题.结果 最终纳入22篇文献,其中指南4篇、临床决策5篇、专家共识2篇、系统评价8篇、随机对照试验3篇,提炼出11个方面、共55条最佳证据主题.结论 总结的结直肠癌术后女性患者盆底康复管理的最佳证据切实可行,医护人员可在多学科合作和循证基础上为结直肠癌术后女性患者提供标准化的结直肠癌术后盆底康复的管理与护理.
Abstract
Objective To search for and summarize the best evidence for pelvic floor rehabilitation management in female patients af-ter colorectal cancer surgery,so as to provide evidence for medical staff to carry out scientific and effective pelvic floor rehabilita-tion management.Methods Chinese and foreign guidelines websites and databases from January 2010 to February 2023 were searched for articles of pelvic floor rehabilitation management in female patients after colorectal cancers surgery.The methodologi-cal quality of the selected articles was evaluated,and the evidence was summarized,graded,and classified into different topics.Re-sults A total of 22 articles were selected,including 4 guidelines,5 clinical decisions,2 expert consensuses,8 systematic reviews,and 3 randomized controlled trials.55 best evidence topics from 11 aspects were identified.Conclusion The best evidence for pelvic floor rehabilitation management in female patients after colorectal cancer surgery is feasible.Medical staff can provide standardized management and nursing care for female patients after colorectal cancer surgery on a multidisciplina-ry and intervention basis.
关键词
结直肠癌/女性患者/盆底康复/尿失禁/盆腔器官脱垂/性功能障碍/循证护理/证据总结Key words
colorectal cancer/female patients/pelvic floor rehabilitation/urinary incontinence/pelvic organ prolapse/se-xual dysfunction/evidence-based nursing/summary of evidence引用本文复制引用
出版年
2024