摘要
目的 系统检索、评价、总结宫颈癌患者性健康管理相关证据,为临床实践提供循证依据.方法 按照"6S"金字塔系统检索国内外指南、专业协会网站和综合数据库中关于宫颈癌患者性健康管理的证据,包括临床决策、指南、证据总结、专家共识和系统评价.检索时限均为建库至2023年11月30日.由2名经过循证护理培训的研究者对纳入文献独立进行方法学质量评价,并提取、汇总证据.结果 共纳入13篇文献,包括3篇临床决策、5篇指南、1篇专家共识、4篇系统评价.提取、汇总了27条证据,涵盖筛查与评估、心理干预、器械与运动干预、非激素干预、激素干预、随访6个方面.结论 本研究总结的宫颈癌患者性健康管理的最佳证据可为临床医务人员规范宫颈癌患者性健康管理提供循证依据.
Abstract
Objective To systematically search,evaluate,and summarize the best evidence on sexual health management for cervical cancer patients to provide evidence-based guidance for clinical practice.Methods According to the"6S"pyramid model,a systematic search was conducted for evidence on sexual health management in cervical cancer patients,including clinical decisions,guidelines,evidence summaries,expert consensus,and systematic reviews,from domestic and international guidelines,professional association websites,and comprehensive databases.The search covered literature from the inception of the databases to November 30,2023.Two researchers trained in evidence-based nursing independently evaluated the methodological quality of the included studies and extracted and summarized the evidence.Results A total of 13 articles were included,consisting of 3 clinical decisions,5 guidelines,1 expert consensus,and 4 systematic reviews.A total of 27 pieces of evidence were extracted and summarized,covering six aspects:screening and assessment,psychological interventions,device and exercise interventions,non-hormonal interventions,hormonal interventions,and follow-up.Conclusions The best evidence summarized in this study for sexual health management in cervical cancer patients can provide evidence-based guidance for clinical healthcare providers to standardize the sexual health management of cervical cancer patients.
基金项目
2022年华中科技大学同济医学院附属同济医院基金(2022D05)
NETL
NSTL
万方数据