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乳腺癌患者乳房重建决策指导的最佳证据总结

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目的 总结乳腺癌患者乳房重建决策指导的相关证据,为开展乳腺癌相关乳房重建决策指导提供参考.方法 检索国内外相关数据库、指南网站及乳腺癌专业学会网站中关于乳腺癌患者乳房重建决策指导的临床决策、指南、证据总结、系统评价和专家共识,检索时限为建库至2023年4月,对纳入的文献进行质量评价以及证据提取、评价和汇总.结果 共纳入17篇文献,包括4篇临床决策、4篇指南、1篇证据总结、4篇系统评价、4篇专家共识.在决策指导团队、乳房重建决策评估、决策指导内容、实施决策指导4个方面形成27条最佳证据.结论 总结的乳腺癌患者乳房重建决策指导的最佳证据可为临床护理人员提供循证依据.证据使用者需要结合具体临床情境,针对性地选择证据,以实现患者决策利益最大化.
Evidence summary of decision-making guidance for breast reconstruction in patients with breast cancer
Objective To summarize the evidence of decision-making guidance for breast reconstruction in patients with breast cancer,so as to provide a reference guiding decision-making for breast reconstruction related to breast cancer.Methods The relevant domes-tic and international databases,guideline website,and website of breast cancer professional societies were searched for clinical deci-sions,guidelines,evidence summaries,systematic evaluations,and expert consensus on decision-making guidance for breast re-construction in breast cancer patients.The retrieval time limit was from the establishment of the data bases or website to April 2023.The quality of the included literature was assessed,and related evidence was extracted,evaluated and summarized.Results A total of 17 articles were included,consisting of 4 clinical decisions,4 guidelines,1 evidence summary,4 systematic evaluations,and 4 expert consensus.Totally 27 pieces of best evidence were summarized from four aspects:decision guidance team,breast re-construction decision assessment,decision guidance content,and implementation of decision guidance.Conclusion The summarized best evidence of decision-making guidance for breast reconstruction in breast cancer patients can provide evidence for clinical nur-ses.Users of the evidence need to tailor their selection of evidence to specific clinical context,so as to maximize the benefits of pa-tient decision-making.

breast cancerbreast reconstructiondecision assessmentdecision guidancespecialist breast nurseevidence summaryevidence-based nursing

赵梦琴、李英、姚佳盈、沈欣怡、王俊辉、鲁佳、陈肖敏

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浙江中医药大学护理学院(浙江杭州,310053)

浙江省人民医院乳腺外科

浙江省人民医院护理部

乳腺癌 乳房重建 决策评估 决策指导 乳腺专科护士 证据总结 循证护理学

浙江省医药卫生科技计划(2023)浙江省中医药科技计划(2021)

2023KY0422021ZB029

2024

护理学杂志
华中科技大学同济医学院

护理学杂志

CSTPCD北大核心
影响因子:2.062
ISSN:1001-4152
年,卷(期):2024.39(7)
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