以质量求发展，以服务铸品牌

护理学报 ›› 2021, Vol. 28 ›› Issue (5): 43-48.doi: 10.16460/j.issn1008-9969.2021.05.043

• 循证护理 • 上一篇    下一篇

维持性血液透析后疲乏管理最佳证据总结

曲畅1, 郭海玲2a, 魏宇2b, 李学靖1, 张小艳1, 丛雪1, 王斗1, 晏利姣1, 郝玉芳1   

  1. 1.北京中医药大学 护理学院,北京 100029;
    2.北京中医药大学附属东直门医院 a.护理部;b.血液透析室,北京 100700
  • 收稿日期:2019-12-15 出版日期:2021-03-10 发布日期:2021-04-08
  • 通讯作者: 郝玉芳（1968-）,女,山西大同人,博士,教授,北京中医药大学国际循证中医药研究院副院长,北京中医药大学循证护理研究中心主任。E-mail：haoyufangbucm@163.com
  • 作者简介:曲畅（1995-）,女,北京人,本科学历,硕士研究生在读。

Best Evidence Summary of Fatigue Management after Hemodialysis

QU Chang1, GUO Hai-ling2a, WEI Yu2b, LI Xue-jing1, ZHANG Xiao-yan1, CONG Xue1, WANG Dou1, YAN Li-jiao1, HAO Yu-fang1   

  1. 1. School of Nursing, Beijing University of Chinese Medicine, Beijing 100029, China;
    2a. Dept. of Nursing Administration; 2b. Hemodialysis Room, Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine, Beijing 100700, China
  • Received:2019-12-15 Online:2021-03-10 Published:2021-04-08

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摘要： 目的 检索、评价、总结血液透析后疲乏管理相关的最佳证据,为临床开展相关循证实践提供参考和依据。方法 在JBI、安大略注册护士协会等7个指南网站初次检索相关指南和证据综合,在中国知网、PubMed等12个中英文数据库补充检索系统评价和专家共识,按照既定原则及程序进行质量评价、筛选及整合。结果 共纳入文献15篇,包括11篇证据综合、3篇系统评价、1篇专家共识,从健康教育、评估、饮食管理、运动管理、睡眠管理、穴位管理、芳香疗法7个方面归纳后共形成32条推荐意见。结论 最佳证据可指导相关临床实践,帮助患者减轻透析后的疲乏感,提高护理质量及患者生命质量。

关键词: 血液透析, 疲乏, 管理, 证据总结

Abstract: Objective To search, evaluate, and summarize the best evidence related to fatigue management after hemodialysis and to provide reference for clinical development of relevant evidence-based practice. Methods The search for relevant guidelines and evidence synthesis from 7 guide websites including JBI and RNAO, and system review and expert consensus from 12 Chinese and English databases including CNKI and PubMed was conducted, then quality evaluation, screening and integration were completed according to the established principles and procedures. Results A total of 15 articles were included, including 11 evidence synthesis, 3 systematic reviews, and 1 expert consensus. Thirty-two recommendations from seven aspects covering health education, evaluation, diet management, exercise management, sleep management, acupoint management and aromatherapy were summed up. Conclusion The best evidence provides guidance for clinical practice, helps patients reduce fatigue after hemodialysis, and improve the quality of care and quality of life of patients.

Key words: hemodialysis, fatigue, management, evidence summary

中图分类号: 

  • R459.5
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