中华现代护理杂志2024,Vol.30Issue(36) :4915-4921.DOI:10.3760/cma.j.cn115682-20240327-01647

肺癌患者睡眠障碍非药物管理的最佳证据总结

Summary of the best evidence for non-pharmacological management of sleep disorders in lung cancer patients

李京南 郭红 王海妍 赵雅洁
中华现代护理杂志2024,Vol.30Issue(36) :4915-4921.DOI:10.3760/cma.j.cn115682-20240327-01647

肺癌患者睡眠障碍非药物管理的最佳证据总结

Summary of the best evidence for non-pharmacological management of sleep disorders in lung cancer patients

李京南 1郭红 2王海妍 3赵雅洁4
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作者信息

  • 1. 北京中医药大学护理学院,北京 102488;北京医院呼吸与危重症医学科国家老年医学中心中国医学科学院老年医学研究院,北京 100730
  • 2. 北京中医药大学护理学院,北京 102488
  • 3. 北京医院老年医学科国家老年医学中心中国医学科学院老年医学研究院,北京 100730
  • 4. 北京医院心血管内科国家老年医学中心中国医学科学院老年医学研究院,北京 100730
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摘要

目的 总结肺癌患者睡眠障碍非药物管理的最佳证据,为改善肺癌患者睡眠障碍症状提供实践依据.方法 检索英国国家卫生与临床优化研究所、澳大利亚乔安娜布里格斯研究所循证实践数据库、美国国家综合癌症网络、医脉通、中国知网、万方数据库等关于肺癌睡眠障碍患者非药物干预的所有证据,检索时限为建库至2023年11月25日.由2名研究者对纳人文献进行方法学质量评价后,进行证据的提取和归纳.结果 共纳人文献12篇,包括指南5篇,系统评价7篇,总结出18条肺癌患者睡眠障碍非药物管理的证据,包括睡眠障碍的筛查与评估、认知行为疗法、物理治疗、中医治疗、音乐治疗、运动治疗6个方面.结论 医护人员应定期筛查和评估肺癌患者睡眠障碍状况,在保证患者安全的前提下,根据肺癌患者的具体情况,提供适宜可行的干预措施,以改善患者的睡眠质量.

Abstract

Objective To summarize the best evidence for non-pharmacological management of sleep disorders in lung cancer patients,providing practical basis for improving sleep disorders in lung cancer patients.Methods The literature on non-pharmacological interventions for sleep disorders in lung cancer patients was retrieved from the National Institute for Health and Clinical Excellence,Joanna Briggs Institute Evidence-Based Health Care Center Database,National Comprehensive Cancer Network,Medlive,China National Knowledge Infrastructure,WanFang Data and so on.The search period was from database establishment to November 25,2023.After evaluating the methodological quality of the included literature by two researchers,evidence was extracted and summarized.Results A total of 12 articles were included,including five guidelines and seven systematic reviews.Eighteen pieces of evidence on non-pharmacological management of sleep disorders in lung cancer patients were summarized from six aspects,including screening and evaluation of sleep disorders,cognitive behavioral therapy,physical therapy,traditional Chinese medicine treatment,music therapy,and exercise therapy.Conclusions Medical and nursing staff should regularly screen and evaluate the sleep disorders of lung cancer patients,and provide appropriate and feasible intervention measures based on the specific situation of lung cancer patients to improve their sleep quality while ensuring patient safety.

关键词

肺肿瘤/睡眠障碍/非药物管理/证据总结/循证护理

Key words

Lung neoplasms/Sleep disorders/Non-pharmacological management/Evidence summary/Evidence-based nursing

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出版年

2024
中华现代护理杂志
中华医学会

中华现代护理杂志

CSTPCD
影响因子:1.14
ISSN:1674-2907
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