护理学报 ›› 2020, Vol. 27 ›› Issue (2): 48-52.doi: 10.16460/j.issn1008-9969.2020.02.048
癌症患者化疗相关性便秘评估与管理最佳证据总结
姚小云1, 陈红宇2a, 胡君娥2b, 周雪果1, 何文斌1, 严妍2b, 张凤琴2a, 陈瑜3
- 1.长江大学医学部,湖北 荆州 434023;
2.荆州市中心医院 a.护理部;b.肿瘤科,湖北 荆州 434020;
3.复旦大学护理学院,上海200032
摘要： 目的 检索、评价和总结癌症患者化疗相关性便秘评估与管理的最佳证据。方法 用PIPOST模型构建循证问题,计算机检索有关癌症患者化疗相关性便秘评估与管理的证据,筛选符合纳入标准的文献,2名研究员独立进行文献质量评价、证据提取与综合。结果 共纳入8篇文献,包括指南4篇、证据总结3篇、系统评价1篇,最终总结24条最佳证据,包括便秘的评估与监测、健康指导、泻药管理、中医治疗、组织政策5个方面。结论 结合医疗机构的临床环境、患者意愿、价值观等,分析医护人员应用证据的促进因素及阻碍因素,进行有针对性的证据选择,以科学的护理方法解决癌症患者化疗相关性便秘的问题,从而提升护理质量。
中图分类号:
- R473.73
| [1] Escalante J, McQuade RM, Stojanovska V, et al. Impact of Chemotherapy on Gastrointestinal Functions and the Enteric Nervous System[J]. Maturitas,2017,105(4):23-29.DOI:10.1016/j.maturitas.2017.04.021. [2] Cope DG.Management of Chemotherapy-induced Diarrhea and Constipation[J]. Nurs Clin North Am, 2001,36(4):695-707. [3] Hayashi H, Suzuki A, Ohata K,et al.Control of Constipation in Patients Receiving CHOP or CHOP-like Chemotherapy Regimens for Non-hodgkin’s Lymphoma[J]. Biol Pharm Bull, 2017,40(5):698-702. DOI:10.1248/bpb.b16-01001. [4] 金知萍,许青,吕迁洲.我院135例肺恶性肿瘤患者化疗致便秘的相关因素及防治方案的调查分析[J].中国药房,2017, 28(30):4190-4193.DOI:10.6039/j.issn.1001-0408.2017.30.04. [5] 郑国甫,张扬.格拉司琼联合黄连上清片防治化疗药所致胃肠道副反应疗效观察[J].现代肿瘤医学,2007, 15(8):1156-1158. DOI:10.3969/j.issn.1672-4992.2007.08.043. [6] Riegler G, Esposito I.Bristol Scale Stool Form. A still Valid Help in Medical Practice and Clinical Research[J]. Tech Coloproctol,2001,5(3):163-164.DOI:10.1007/s101510100019. [7] Hsieh C.Treatment of Constipation in Older adults[J]. Am Fam Physician, 2005,72(11):2277-2284. DOI:10.1016/j.pop.2005.11.004. [8] Brouwers MC, Kho ME, Browman GP, et al.AGREE II: Advancing Guideline Development, Reporting, and Evaluation in Health Care[J]. Can Med Assoc J, 2010,182(18):E839. DOI:10.1503/cmaj.090449. [9] 李飞,邓波,朱世琴,等.压疮危险人群翻身间隔时间最佳证据总结[J].护理学报, 2018, 25(11):21-25.DOI:10.16460/j.issn1008-9969.2018.11.021. [10] 熊俊,陈日新.系统评价/Meta分析方法学质量的评价工具AMSTAR[J].中国循证医学杂志, 2011,11(9):1084-1089. DOI:10.3969/j.issn.1672-2531.2011.09.017. [11] 胡雁. 循证护理学[M].北京:人民卫生出版社,2012:56-75. [12] 王青春,胡雁. JBI 证据预分级及证据推荐级别系统(2014版)[J].护士进修杂志,2015,30(11):964-967.DOI:10.16821/j.cnki.hsjx.2015.11.002. [13] 杨中善,许妮娜,詹昱新,等.住院患者规范化身体约束管理最佳证据总结[J].护理学报, 2019, 26(4):31-36.DOI:10.16460/j.issn1008-9969.2019.04.031. [14] Paquette IM, Varma M, Ternent C, et al.The American Society of Colon and Rectal Surgeons Clinical Practice Guideline for the Evaluation and Management of Constipation[J]. Dis Colon Rectum, 2016,59(6):479-492.DOI:10.1097/DCR.0000000000000599. [15] Greger L, Saeed H, Peter H, et al.World Gastroenterology Organisation Global Guideline: Constipation Global Perspective[J]. J Clin Gastroenterol, 2011,45(6):483-487.DOI:10.1097/ MCG. 0b013e31820fb914. [16] Serra J, Mascot RJ, Marzo CM, et al.Clinical Practice Guidelines for the Management of Constipation in Adults. Part 2: Diagnosis and Treatment[J]. J Gastroenterol Hepatol, 2017,40(4):303-316.DOI:10.1016/j.gastre.2017.03.013. [17] Tazim V, Josephine S, Stephanie L, et al. Prevention of Constipation in the Older Adult Population[EB/OL].(2011-11-05)[2018-12-25].https://rnao.ca/bpg/guidelines/prevention-constipation-older-adult-population. [18] Susan S. Chemo-therapy: Constipation Management [EB/OL].(2016-08-31).[2018-12-25]http://ovidsp.dc2.ovid.com/sp-3.33.0b/ovidweb.cgi?&S=NOLJFPIADOEBJMACIPCKLHEHLAOEAA00&Link+Set=S.sh.48%7c4%7csl_190. [19] Lucylynn L. Chemo-therapy Induced Constipation: Management[EB/OL].(2018-03-07)[2018-12-25].http://ovidsp.dc2.ovid.com/sp-3.33.0b/ovidweb.cgi?&S=NOLJFPIADOEBJMACIPCKLHEHLAOEAA00&Link+Set=S.sh.21%7c1%7csl_190. [20] Lucylynn L.Constipation in Hospitalized Patients: Management[EB/OL].(2018-03-05)[2018-12-25].http://ovidsp.dc2.ovid.com/sp-3.33.0b/ovidweb.cgi?&S=NOLJFPIADOEBJMACIPCKLHEHLAOEAA00&Link+Set=S.sh.44%7c1%7csl_190. [21] Jing X, Jiao L, Wang C, et al.Auricular Acupressure Is an Alternative in Treating Constipation in Leukemia Patients undergoing Chemotherapy: A systematic Review and Meta-analysis[J]. Complement Ther Clin Pract,2018,14(17):145-155. DOI:10.1016/ j.ctcp.2018.03.005. [22] Lofti-Jam K, Carey M, Jefford M, et al.Nonpharmacologic Strategies for Managing Common Chemotherapy Adverse Effects:A Systematic Review[J]. Clin Oncol, 2008,26(34):5618-5629. DOI:10.1200/jco.2007.15.9053. [23] Shin J, Park H.Effects of Auricular Acupressure on Constipation in Patients with Breast Cancer Receiving Chemotherapy: A Randomized Control Trial[J].West J Nurs Res,2018,40(1):67-83.DOI:10.1177/0193945916680362. [24] Zou JY, Xu Y, Wang XH, et al.Improvement of Constipation in Leukemia Patients Undergoing Chemotherapy Using Sweet Potato[J]. Cancer Nurs, 2016,39(3):181-186. DOI:10.1097/ NCC. 0000000000000257. [25] Cheng CW, Kwok AO, Bian ZX, et al.A Cross-sectional Study of Constipation and Laxative Use in Advanced Cancer Patients: Insights for Revision of Current Practice[J]. Support Care Cancer, 2013,21(1):149-156. DOI:10.1007/s00520-012-1504-x. [26] Cheng CW, Kwok AOL, Bian ZX,et al.The Quintessence of Traditional Chinese Medicine: Syndrome and Its Distribution among Advanced Cancer Patients with Constipation[J]. Evid Based Complement Alternat Med,2012, 2012(11):125-142. DOI:10.1155/2012/739642. [27] Mercadante S, Ferrera P, Casuccio A.Effectiveness and Tolerability of Amidotrizoate for the Treatment of Constipation Resistant to Laxatives in Advanced Cancer Patients[J]. J Pain Symptom Manage, 2011,41(2):421-425. DOI:10.1016/j.jpainsymman.2010.04.022. [28] Smith S.Evidence-based Management of Constipation in the Oncology Patient[J]. Eur J Oncol Nurs, 2001,5(1):18-25. DOI:10.1054/ejon.2000.0119. [29] McQuade R, Stojanovska V, Abalo R, et al. Chemotherapy-induced Constipation and Diarrhea: Pathophysiology, Current and Emerging Treatments[J]. Front Pharmacol, 2016,7(3):414. DOI:10.3389/fphar.2016.00414. [30] Gibson RJ, Keefe D.Cancer Chemotherapy-Induced Diarrhoea and Constipation: Mechanisms of Damage and Prevention Strategies[J].Support Care Cancer,2006,14(9):890-900.DOI:10.1007/s00520-006-0040-y. [31] Toney R, Wallace D, Sekhon S, et al.Medication Induced Constipation and Diarrhoea[J]. Pract Gastroenterol, 2008,18(10):12-28. [32] Solomon R, Cherny N.Constipation and Diarrhea in Patients with Cancer[J].Cancer, 2006,12(5):355-364. [33] 雷丽芳,林美珍,邓秀红,等.子午流注穴位行温灸包与腹部按摩在功能性便秘老年患者的效果对照研究[J].护理学报,2017,24(9):60-63.DOI:10.16460/j.issn1008-9969.2017.09.060. [34] 王晓珊,梁良,刘迪,等.理气复胃口服液对化疗后便秘的预防效果[J].肿瘤研究与临床,2014,26(7):476-478. DOI:10.3760/cma.j.issn.1006-9801.2014.07.013. [35] 中国临床肿瘤学会肿瘤化疗所致血小板减少症共识专家委员会.肿瘤化疗所致血小板减少症诊疗中国专家共识(2018版)[J].中华肿瘤杂志,2018,40(9):714-720. DOI:10.3760/cma.j.issn. 0253-3766.2018.09.014. [36] Zekri J.The Impact of a Coordinated Joint Multidisciplinary Breast Cancer Clinic[J]. E Cancer Medical Science, 2017(11):741. DOI:10.3332/ecancer.2017.741. [37] European Partnership Action Against Cancer Consensus Group. Policy Statement on Multidiscipli-nary Cancer Care[J]. Eur J Cancer,2014,50(3):475-480. DOI:10.1016/j. ejca.2013.11.012. [38] 廖秀军,茅伟明,武文静,等.慢性便秘患者多学科团队评估的临床意义[J].中华消化外科杂志,2015,14(6):488-491. DOI:10.3760/cma.j.issn.1673-9752.2015.06.012. [39] 房志学,黄忠诚.多学科协作模式下慢性便秘的诊治[J].中华胃肠外科杂志,2017,20(12):1342-1344. DOI:10.3760/cma.j.issn.1671-0274.2017.12.004. [40] 杨中善,许妮娜,詹昱新,等.住院患者规范化身体约束管理最佳证据总结[J].护理学报,2019,26(4):31-36.DOI:10.16460/j.issn1008-9969.2019.04.031. |
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