摘要
目的 检索、评价并总结成年泌尿系结石患者经口液体摄入管理的最佳证据,为临床护理提供决策依据.方法 以泌尿系结石、尿路结石、肾结石、液体摄入、饮水、饮料等作为检索词,系统检索国内外相关数据库、指南网站、专业协会网站中涉及成年泌尿系结石患者经口液体摄入管理的证据,包括临床决策、最佳实践、指南、专家共识、证据总结、系统评价和推荐实践,检索时限为2018年1月 1日一 2023年6月1日.由2名经过循证护理培训的研究者独立进行文献质量评价及证据提取和整合.结果 共纳入23篇文献,包括临床决策2篇、最佳实践1篇、指南4篇、系统评价13篇、推荐实践3篇.最终从液体摄入的重要性、摄入量、摄入时机、不同类型液体与泌尿系结石发生风险的关系以及摄入建议、摄入监测、注意事项6个方面总结了 18条最佳证据.结论 本研究总结了成年泌尿系结石患者经口液体摄入管理的最佳依据,可为临床护理提供参考.证据应用时,需充分考虑临床实际情况及患者特点,以期降低泌尿系结石的复发率.
Abstract
Objective To search,evaluate and summarize the best evidence for oral fluid intake management in adult patients with urinary calculi,providing a decision-making basis for clinical nursing.Methods Using keywords such as urolithiasis,urinary calculi,fluid intake,water intake,fluid,etc.,a systematic search was conducted in relevant domestic and international databases,guideline websites,and professional association sites for evidence related to oral fluid intake management in adult urolithiasis patients.This included clinical decisions,best practices,guidelines,expert consensus,evidence summaries,systematic reviews,and recommended practices,covering the period from January 1,2018 to June 1,2023.Two researchers trained in evidence-based nursing independently evaluated the quality of the literature and extracted and integrated the evidence.Results A total of 23 articles were included,comprising two clinical decisions,one best practice,four guidelines,13 systematic reviews,and three recommended practices.Ultimately,18 pieces of best evidence were summarized from six aspects:the importance of fluid intake,intake volume,timing of intake,the relationship between different types of fluids and the risk of urinary calculi,intake recommendations,monitoring methods,and precautions.Conclusions This study summarizes the best evidence for oral fluid intake management in adult patients with urinary calculi,which can provide reference for clinical nursing.When applying this evidence,it is essential to fully consider clinical circumstances and patient characteristics to reduce the recurrence rate of urinary calculi.
维普
万方数据