早期宫颈癌根治性子宫切除术后尿潴留预防护理最佳证据总结-国际护理学研究-CSCIED科技核心评价数据库-手机版

早期宫颈癌根治性子宫切除术后尿潴留预防护理最佳证据总结

Best evidence summary for prevention and management of urinary retention after radical hysterectomy for early cervical cancer

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DOI	10.12208/j.ijnr.20230255
刊名	国际护理学研究 International Journal of Nursing Research
年，卷(期)	2023, 5(7)
作者	肖玉梅,龚桂芳*,邵幸儿,黄丹媚,余旺灵,
作者单位	广州市妇女儿童医疗中心妇科广东广州 ;
摘要	评价总结早期宫颈癌根治性子宫切除术后尿潴留预防护理的最佳证据，为临床护理人员和管理者提供证据支持。方法根据问题开发工具PIPOST确立早期宫颈癌根治性子宫切除术后尿潴留预防护理的循证问题，系统检索UpToDate临床决策系统、英国国家医疗保健优化研究所（NICE）、苏格兰院际指南网（SIGN）、国际指南协作网（GIN）、加拿大安大略护理学会网站（RNAO）、美国国立癌症综合网络（NCCN）、医脉通、欧洲泌尿外科协会网站（EAU）、国际尿控协会（ICS）、加拿大泌尿外科协会（CUA）、Cochrane Library、OVID-JBI、Pubmed、CNKI、中国万方共15个数据库从建库至2021年6月5日关于早期宫颈癌根治性子宫切除术后尿潴留预防护理的临床决策、循证指南、证据总结、系统评价、专家共识，由2名研究者对文献质量进行评价，并进行证据总结。结果纳入13篇文献，其中临床决策2篇，循证指南4篇，证据总结4篇，系统评价3篇。从13篇文献中提取最佳证据23条，总结为尿潴留风险评估、手术预防、膀胱引流方式的选择及管理、药物干预、膀胱康复技术、膀胱自我管理六大类。结论早期宫颈癌根治性子宫切除术后尿潴留预防护理证据支持强，临床医护人员应用证据时需结合临床情境有针对性的应用。
Abstract	Objective To evaluate and summarize the best evidence of preventive nursing of urinary retention after radical hysterectomy for early cervical cancer, and provide evidence support for clinical nurses and managers. Methods According to the problem development tool PI POST, the evidence-based problem of prevention and nursing of urinary retention after radical hysterectomy for early cervical cancer was established. The system searches Up To Date clinical decision-making system, British National Health Care Optimization Institute (NICE), Scottish Inter hospital Guidance Network (SIGN), International Guidance Collaboration Network (GIN), Canadian Ontario Nursing Association website (RNAO), American National Cancer Network (NCCN), Medical Pulse, European Urology Association website (EAU), International Urology Association (ICS), Canadian Urology Association (CUA), Cochrane Library, OVID-JBI, Pubmed, CNKI and China Wanfang have 15 databases, from the establishment of the database to June 5, 2021, regarding the clinical decision-making, evidence-based guidance, evidence summary, systematic evaluation and expert consensus on the prevention and care of urinary retention after radical hysterectomy for early cervical cancer. Two researchers evaluated the literature quality and summarized the evidence. Results Thirteen literatures were included, including 2 clinical decisions, 4 evidence-based guidelines, 4 evidence summaries and 3 systematic evaluations. Twenty-three pieces of best evidence were extracted from 13 literatures, which were summarized into six categories: risk assessment of urinary retention, surgical prevention, selection and management of bladder drainage methods, drug intervention, bladder rehabilitation technology and bladder self-management. Conclusion The evidence of prevention and nursing care of urinary retention after radical hysterectomy for early cervical cancer is strong, and the clinical medical staff should apply the evidence in combination with the clinical situation.
关键词	早期宫颈癌；根治性子宫切除术；尿潴留；预防；护理；证据总结
KeyWord	Early cervical cancer; Radical hysterectomy; Urinary retention; Prevention; Nursing; Summary of evidence
基金项目
页码	4-11

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引用本文

肖玉梅,龚桂芳*,邵幸儿,黄丹媚,余旺灵. 早期宫颈癌根治性子宫切除术后尿潴留预防护理最佳证据总结 [J]. 国际护理学研究. 2023; 5; (7). 4 - 11.

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