妊娠期妇女不宁腿综合征管理的最佳证据总结

doi:10.16460/j.issn1008-9969.2023.13.047

摘要/Abstract

摘要： 目的遴选并总结妊娠期妇女不宁腿综合征管理的最佳相关证据,为医护人员临床实践管理提供依据。方法计算机系统检索BMJ、Cochrane Library、JBI、UpToDate、Embase、Clinical Trial、Web of Science、PubMed、中国知网、维普、万方数据库、CBM、中国指南网、GIN、SIGN、NGC、ACOG、SOGC中有关妊娠期孕妇不宁腿综合征管理措施的循证文献,筛选出符合纳入标准的文献,由2名研究员独立评价文献质量并汇总证据。结果共纳入13篇文献,包括指南3篇、临床决策5篇、系统评价4篇及证据总结1篇,提取出25条有关妊娠期不宁腿综合征管理的最佳证据,包括评估与诊断、总体管理原则、避免诱发因素、健康教育、运动锻炼、手法设备措施和药物治疗7个方面。结论本研究从评估与诊断、总体管理原则、避免诱发因素、健康教育、运动锻炼、手法设备措施和药物治疗这7个方面归纳分析有关妊娠期不宁腿综合征管理的最佳证据,医护人员可根据临床实际选择并应用本研究整合25条证据,以降低孕妇不宁腿综合征发生率并提高孕期生活质量。

关键词: 不宁腿综合征, 妊娠, 睡眠障碍, 管理, 循证护理

Abstract: Objective To select and summarize the best evidence for management of restless leg syndrome (RLS) during pregnancy, so as to provide evidence for clinical practice. Methods We conducted systematical research with computer in databases of BMJ, Cochrane Library, JBI, UpToDate, Embase, Clinical Trial, Web of Science, PubMed, CNKI, VIP, Wanfang Database, CBM, Medical Pulse, GIN, SIGN, NGC, ACOG and SOGC for all the evidence regarding management of RLS during pregnancy. Literature was evaluated and summarized by 2 researchers independently. Results Thirteen articles were enrolled, including 3 guidelines, 5 clinical decisions, 4 systematic reviews and 1 evidence summary. A total of 25 pieces of evidence were summarized, including assessment and diagnosis, general management principles, avoiding precipitating factors, health education, exercises, manual/equipment therapy and medication. Conclusion The best evidence is summarized into 7 aspects of assessment and diagnosis, general management principles, avoiding precipitating factors, health education, exercises, manual/equipment therapy and medication for the management of RLS during pregnancy. It is recommended that the 25 pieces of evidence be used into clinical practice to reduce the incidence of RLS and improve the quality of life during pregnancy.

Key words: restless leg syndrome, pregnancy, sleep disorder, management, evidence-based nursing

中图分类号:

R473.71

庄云婷, 王志坚, 李娟华, 肖燕璇, 刘益君. 妊娠期妇女不宁腿综合征管理的最佳证据总结[J]. 护理学报, 2023, 30(13): 47-52.

ZHUANG Yun-ting, WANG Zhi-jian, LI Juan-hua, XIAO Yan-xuan, LIU Yi-jun. Best evidence summary for management of restless leg syndrome during pregnancy[J]. Journal of Nursing, 2023, 30(13): 47-52.

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