Summary of best evidence for management of neurogenic bowel dysfunction in patients with spinal cord injury
文菁莲 1唐炜 2罗玉红 3唐帆 3陈广林 2杨绪梅 1钟羽昕 1刘英
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作者信息
1. 贵州医科大学护理学院外科护理学教研室，贵阳 550001
2. 贵州医科大学附属医院骨科，贵阳 550001
3. 贵州医科大学附属医院护理部，贵阳 550001
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摘要
目的 检索、评价并整合国内外脊髓损伤患者神经源性肠道功能障碍（NBD）管理的最佳证据，为临床开展相关循证实践提供依据。 方法 计算机检索国内外各数据库、专业协会网站中关于脊髓损伤患者NBD管理的证据，包括指南、专家共识、临床决策及系统评价，检索时限为建库至2023年3月31日。 结果 共纳入文献13篇，包括指南5篇、证据总结5篇、专家共识2篇、临床决策1篇。从脊髓损伤患者NBD管理的病史评估、药物管理、物理治疗、饮食运动及健康教育5个方面总结了33条推荐意见。 结论 本研究汇总的脊髓损伤患者NBD管理最佳证据具有科学性和实用性，医护人员应结合临床实际情况选择性应用最佳证据。 Objective To retrieve, evaluate, and integrate the best evidence for the management of neurogenic bowel dysfunction (NBD) in spinal cord injury patients both domestically and internationally, providing a basis for relevant evidence-based practices. Methods The guidelines, expert consensus, clinical decision-making, and systematic review of NBD management for spinal cord injury patients were electronically searched in various databases and professional association websites at home and abroad. The search period was from database establishment to March 31, 2023. Results A total of 13 articles were included, including five guidelines, five evidence summaries, two expert consensus, and one clinical decision-making. A total of 33 recommendations for NBD management in spinal cord injury patients were summarized from five aspects of medical history assessment, medication management, physical therapy, diet and exercise, and health education. Conclusions The best evidence for NBD management in spinal cord injury patients summarized is scientific and practical. Medical and nursing staff should selectively apply the best evidence based on clinical practice.
Abstract
Objective To retrieve, evaluate, and integrate the best evidence for the management of neurogenic bowel dysfunction (NBD) in spinal cord injury patients both domestically and internationally, providing a basis for relevant evidence-based practices. Methods The guidelines, expert consensus, clinical decision-making, and systematic review of NBD management for spinal cord injury patients were electronically searched in various databases and professional association websites at home and abroad. The search period was from database establishment to March 31, 2023. Results A total of 13 articles were included, including five guidelines, five evidence summaries, two expert consensus, and one clinical decision-making. A total of 33 recommendations for NBD management in spinal cord injury patients were summarized from five aspects of medical history assessment, medication management, physical therapy, diet and exercise, and health education. Conclusions The best evidence for NBD management in spinal cord injury patients summarized is scientific and practical. Medical and nursing staff should selectively apply the best evidence based on clinical practice.
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