摘要
目的 总结慢性肾病患者不宁腿综合征(RLS)非药物管理的最佳证据.方法 基于"6S"证据模型,计算机检索国际指南协作网、美国指南网、加拿大安大略注册护士协会、医脉通、中华医学会肾脏病学分会、美国国家肾脏病基金会网站、BMJ最佳临床实践、UpToDate、PubMed、Cochrane Library、中国生物医学文献数据库、中国知网等国内外相关指南网站及数据库,检索时限为建库至2023年9月30日,由2名研究人员进行文献质量评价并汇总证据.结果 共纳入11篇文献,包括2篇指南、2篇临床决策、7篇系统评价,从评估与管理、避免诱发因素、行为策略改变、物理疗法、改变透析方式、运动疗法、外科手术、中医外治疗法和健康教育9个方面汇总了30条证据.结论 本研究总结了慢性肾病患者RLS非药物管理的最佳证据,医护人员需结合临床情境,有针对性地选择、应用最佳证据.
Abstract
Objective To summarize the best evidence for non-pharmacological management of restless leg syndrome(RLS)in patients with chronic kidney disease.Methods Based on the"6S"evidence model,a computer search was conducted on relevant domestic and international guideline websites and databases,including Guidelines International Network,National Guideline Clearinghouse,Registered Nurses'Association of Ontario,Medlive,Chinese Medical Association Nephrology Branch,National Kidney Foundation website,BMJ Best Practice,UpToDate,PubMed,Cochrane Library,China Biology Medicine disc,and China National Knowledge Infrastructure.The search period was from establishing the databases to September 30,2023.Two researchers conducted a literature quality evaluation and summarized evidence.Results A total of 11 articles were included,including two guidelines,two clinical decision-making articles and seven systematic reviews.A total of 30 pieces of evidence were summarized from nine aspects,such as evaluation and management,avoidance of triggering factors,behavioral strategy changes,physical therapy,change in dialysis methods,exercise therapy,surgery,traditional Chinese medicine external treatment,and health education.Conclusions This study summarizes the best evidence for non-pharmacological management of restless leg syndrome in patients with chronic kidney disease.Medical staff must select and apply the best evidence in a targeted manner based on clinical situations.
基金项目
中华医学会杂志社2022-2023年护理学科研究课题(CMAPH-NRG2022039)
上海市进一步加快中医药发展传承创新发展三年计划(ZY2021-2023-0204)
维普
万方数据