以质量求发展，以服务铸品牌

Journal of Nursing ›› 2023, Vol. 30 ›› Issue (13): 47-52.doi: 10.16460/j.issn1008-9969.2023.13.047

Previous Articles     Next Articles

Best evidence summary for management of restless leg syndrome during pregnancy

ZHUANG Yun-ting1, WANG Zhi-jian2, LI Juan-hua3, XIAO Yan-xuan1, LIU Yi-jun1   

  1. 1. School of Nursing, Southern Medical University, Guangzhou 510515, China;
    2. Dept. of Obstetrics, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China;
    3. Dept. of Obstetrics, Zencheng Branch of Nanfang Hospital, Southern Medical University, Guangzhou 511300, China
  • Received:2023-02-12 Online:2023-07-10 Published:2023-08-04

PDF (PC)

129

Like

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

CLC Number: 

  • R473.71
[1] Mendes A, Silva P.Possible etiologies of restless legs syndrome in pregnancy:a narrative review[J].Sleep science (Sao Paulo, Brazil),2022,15(4):471-479.DOI:10.5935/1984-0063.20220080.
[2] Chen SJ, Shi L, Bao YP, et al.Prevalence of restless legs syndrome during pregnancy: a systematic review and Meta-analysis[J]. Sleep Med Rev,2018,40:43-54. DOI:10.1016/j.smrv.2017.10.003.
[3] Grover A, Bilodeau C, Ambrosio D.Restless leg syndrome in pregnancy[J]. Obstet Med,2015,8(3):121-125. DOI:10.1177/1753495X15587452.
[4] Tuna O, Yuksel E, Ruzgar S.Prevalence of restless leg syndrome and effects on quality of life during pregnancy[J]. Sleep Breath,2021,25(4):2127-2134. DOI:10.1007/s11325-021-02311-5.
[5] 白丽娟,吴建杰,张玉涛,等.妊娠期睡眠生理及睡眠障碍的研究进展[J].中国全科医学,2020,23(8):1008-1016. DOI: 10.12114/j.issn.1007-9572.2019.00.139.
[6] Facco L, Chan J, Patel S.Common sleep disorders in pregnancy[J]. Obstet and gynecology,2022,140(2):321-339.DOI: 10.1097/AOG.0000000000004866.
[7] Steinweg K, Nippita T, Cistulli PA,et al.Maternal and neonatal outcomes associated with restless legs syndrome in pregnancy: a systematic review[J].Sleep Med Rev,2020,54:103-159. DOI:10.1016/j.smrv.2020.101359.
[8] Akbaş P, Sözbir SY. Restless legs syndrome and quality of life in pregnant women[J]. Rev Assoc Med Bras, 2019,65(5):618-624. DOI:10.1590/1806-9282.65.5.618.
[9] Sawatari H, Yoshimura C, Amagase H, et al.Relationship between restless legs syndrome associated symptoms and presence of depression during pregnancy[J]. Women health, 2022,62(3):265-271. DOI:10.1080/03630242.2022.2055698.
[10] 胡雁,郝玉芳.循证护理学[M].2版.北京:人民卫生出版社, 2018.
[11] Shaneyfelt T.Pyramids are guides not rules: the evolution of the evidence pyramid[J]. Evid Based Med, 2016,21(4):121-122. DOI:10.1136/ebmed-2016-110498.
[12] AGREE Proiect Office. The AGREEⅡinstrument[EB/OL].[2023-02-01].http://www.agreetrust.org.
[13] Pieper D, Koensgen N, Breuing J, et al.How is AMSTAR applied by authors-a call for better reporting[J]. BMC Med Res Methodol,2018,18(1):56.DOI:10.1186/s12874-018-0520-z.
[14] Foster M, Shurtz S.Making the critical appraisal for summaries of evidence (CASE) for evidence-based medicine (EBM):critical appraisal of summaries of evidence[J].J Med Libr Assoc, 2013,101(3):192-198.DOI:10.3163/1536-5050.101.3.008.
[15] 王春青, 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.
[16] Picchietti DL, Hensley JG, Bainbridge JL, et al.Consensus clinical practice guidelines for the diagnosis and treatment of restless legs syndrome/Willis-Ekbom disease during pregnancy and lactation[J].Sleep Med Rev,2015,22:64-77. DOI:10.1016/j.smrv.2014.10.009.
[17] 中国医师协会神经内科医师分会睡眠学组,中华医学会神经病学分会睡眠障碍学组,中国睡眠研究会睡眠障碍专业委员会.中国不宁腿综合征的诊断与治疗指南(2021版)[J].中华医学杂志,2021,101(13):908-925.DOI:10.3760/cma.j.cn112137-20200820-02431.
[18] Mottola MF, Davenport MH, Ruchat SM, et al.2019 Canadian guideline for physical activity throughout pregnancy[J]. Br J Sports Med, 2018, 52(21):1339-1346.DOI:10.1136/bjsports-2018-100056.
[19] Naguy A, Alamiri B.Gestational restless leg syndrome: in the spotlight[J]. Prim Care Companion CNS Disord,2023,25(1):32-35. DOI:10.4088/PCC.22br03235.
[20] Picchietti D. Restless legs syndrome during pregnancy and lactation[EB/OL].(2023-01-17)[2023-02-01]. https://www.uptodate.cn/contents/zh-Hans/restless-legs-syndrome-during-pregnancy-and-lactation.
[21] Jahani M, Kolla BP. Moore KM, et al.Management of restless legs syndrome in pregnancy and lactation[J]. J Prim Care Community Health,2020,11:2150132720905950. DOI: 10.1177/2150132720905950.
[22] Garbazza C, Manconi M.Management strategies for restless legs syndrome/Willis-Ekbom disease during pregnancy[J]. Sleep Med Clin,2018,13(3):335-348. DOI:10.1016/j.jsmc.2018.05.001.
[23] Gupta R, Dhyani M, Kendzerska T, et al.Restless legs syndrome and pregnancy: prevalence, possible pathophysiological mechanisms and treatment[J]. Acta Neurol Scand,2016,133(5):320-329. DOI:10.1111/ane.12520.
[24] Huang C, Tang JF, Sun W, et al.Effectiveness of acupuncture in the management of restless leg systematic review and Meta-analysis[J]. Ann Palliat Med,2021,10(10):495-505. DOI:10.21037/apm-21-2309.
[25] Trotti L, Becker A. Iron for the treatment of restless legs syndrome[J]. Cochrane Database Syst Rev, 2019, 1(1):CD007834.
[26] Harrison E, Keating J, Morgan P.Non-pharmacological interventions for restless legs syndrome: a systematic review of randomised controlled trials[J]. Disabil Rehabil,2019,41(17):2006-2014. DOI:10.1080/09638288.2018.1453875.
[27] Xu XM, Liu Y, Jia SY, et al.Complementary and alternative therapies for restless legs syndrome: an evidence-based systematic review[J]. Sleep Med Rev,2018,38:158-167. DOI:10.1016/j.smrv.2017.06.003.
[28] Guay A, Houle M, O'Shaughnessy J, et al. Current evidence on diagnostic criteria, relevant outcome measures, and efficacy of nonpharmacologic therapy in the management of restless legs syndrome (RLS): a scoping review[J]. J Manipulative Physiol Ther,2020,43(9):930-941. DOI:10.1016/j.jmpt.2020.05.004.
[29] Laleli B, Elmas B, Tugrul D, et al.Evaluation of serum selenium level, quality of sleep, and life in pregnant women with restless legs syndrome[J]. Biol Trace Elem Res,2023,201(3):1143-1150. DOI:10.1007/s12011-022-03447-5.
[30] Sato M, Matsui K, Sasai T, et al.The prevalence and associated factors of seasonal exacerbation of subjective symptoms in Japanese patients with restless legs syndrome[J]. Sleep Med, 2023, 101:238-243. DOI:10.1016/j.sleep.2022.11.017.
[31] Terzi H, Terzi R, Zeybek B, et al.Restless legs syndrome is related to obstructive sleep apnea symptoms during pregnancy[J]. Sleep Breath, 2015, 19(1):73-78. DOI:10.1007/s11325-014-0964-2.
[32] Rahmani N, Araj-Khodaei M, Mohammad S,et al.The effect of cognitive-behavioral counseling with or without citrus aurantium essential oil on sleep quality in pregnant women:a randomized controlled trial[J].Sleep Biol Rhythms,2023,5:1-10. DOI:10.1007/s41105-023-00451-7.
[33] 徐思英,黄莹,刘丽华,等.基于互联网认知行为疗法对产妇负性情绪干预效果的Meta分析[J].护理学报,2021,28(4):36-42.DOI:10.16460/j.issn1008-9969.2021.04.036.
[34] Sönmez A, Aksoy Y.Effects of sleep hygiene training given to pregnant women with restless leg syndrome on their sleep quality[J]. Sleep Breath,2018,22(2):527-535. DOI: 10.1007/s11325-018-1619-5.
[35] Lin S, Zhang H, Gao T, et al.The association between obesity and restless legs syndrome: a systemic review and Meta-analysis of observational studies[J]. J Affect Disord, 2018, 235:384-391. DOI:10.1016/j.jad.2018.04.042.
[36] 谢果红,郑赞,吕媛,等.孕前体质量指数与后代先天性心脏病关联剂量反应关系的Meta分析[J].护理学报,2018,25(15):30-36. DOI:10.16460/j.issn1008-9969.2018.15.030.
[37] Thirugnanam S.Effect of aerobic exercise and yogasana program on peripheral neuropathy patients with restless leg syndrome[J]. Sleep Medicine,2019, 64:382-383.DOI:10.1016/j.sleep.2019.11.1067.
[38] Jafarimanesh H, Vakilian K, Mobasseri S.Thermo-therapy and cryotherapy to decrease the symptoms of restless leg syndrome during the pregnancy: a randomized clinical trial[J]. Complement Ther Med,2020,50:102409. DOI:10.1016/j.ctim.2020.102409.
[39] Gossard TR, Trotti LM, Videnovic A, et al.Restless legs syndrome: contemporary diagnosis and treatment[J]. Neurotherapeutics,2021,18(1):140-155. DOI:10.1007/s13311-021-01019-4.
[40] 李明先. 穴位按压联合早期体位干预对无剖宫产指征孕妇分娩结局的影响[J].护理学报,2016,23(2):65-67. DOI: 10.16460/j.issn1008-9969.2016.02.065.
[41] Bartl M, Trenk C, Muntean ML, et al.Intravenous iron supplementation therapy Restless-Legs-Syndrome[J]. Nervenarzt, 2021,92(10):1067.DOI:10.1007/s00115-021-01096-y.
[42] World Health Organization.Guideline: daily iron and folic acid supplementation in pregnant women[M].Geneva: World Health Organization, 2012.
[43] Trenk C, Winkelmann J, Oertel W, et al.Ferric carboxymaltose in patients with restless legs syndrome and nonanemic iron deficiency: a randomized trial[J]. Mov Disorder,2017,32(10):1478-1482. DOI:10.1002/mds.27040.
[1] YANG Yan, DONG Si-qin, ZHAO Bao-sheng, LI Zhen-xiang. Best evidence summary for exercise management for patients in early and middle stage of Parkinson's disease [J]. Journal of Nursing, 2023, 30(9): 37-42.
[2] CHEN Jia-yin, GUO Jun, LIU Ning. Best evidence summary for prevention and management of nurses' occupational exposure [J]. Journal of Nursing, 2023, 30(7): 53-58.
[3] LUO Li, HE Jiao, ZHANG Juan, ZHANG Lan, Yang Xue-jiao. Best evidence summary for prevention and management of diaper dermatitis [J]. Journal of Nursing, 2023, 30(6): 42-46.
[4] HOU Ying-ge, LI Hao-zheng, HOU Yun-xia, WANG Zi-han, LI Jing, WANG Song-mei, ZHAO Ya-jie, YAN Ling. Development and psychometric testing of self-management scale for gastroesophageal reflux in patients after surgery for esophageal cancer [J]. Journal of Nursing, 2023, 30(5): 12-17.
[5] XU Yan-hong, Wei Qing-feng, XIA Ye, ZHONG Yan. Construction of hospital-community management index system of patients with colorectal polyps after endoscopic resection based on screening platform [J]. Journal of Nursing, 2023, 30(5): 33-37.
[6] BU Si-si, LI Yu-hong, DING Li-xue, LI Wen-juan. Quality evaluation and content analysis of guidelines of physical activity for pregnant women [J]. Journal of Nursing, 2023, 30(4): 49-54.
[7] ZHANG Hong-xia, YANG Qiao-qiao, DANG Chen-po, ZHANG Wen-fang, ZHANG Xiao-min, SHAO Zhuan-lan. Fracture risk prediction tools in elderly patients with osteoporosis: a scoping review [J]. Journal of Nursing, 2023, 30(3): 57-62.
[8] LI Pu, WANG Mei, YU Li, LIU Min, LI Ping, ZHANG Hong,CHEN Yu, HU Yan, HU Shao-hua. Best evidence summary for early mobilization in children with severe neurological impairment [J]. Journal of Nursing, 2023, 30(2): 48-53.
[9] YANG Li-fen, ZHANG Mei-xue, LI Xi-ran, WU Jian-ping, WANG Ning. Construction of evidence-based practice protocol for prevention of surgical site infection in children with bone implantation [J]. Journal of Nursing, 2023, 30(12): 50-55.
[10] TU Ying, DU Dan-yang, SHU Yan, ZENG Tao. Best evidence summary of prevention of recurrent ischemic stroke [J]. Journal of Nursing, 2023, 30(11): 41-46.
[11] HUANG Pan-pan, CHENG Hong, ZHANG Ying-hong, WANG Yan, ZHANG Lian-sheng. Construction of "Internet + Nursing Service" Risk Management Evaluation Index System Based on 4R-model Crisis Management Theory [J]. Journal of Nursing, 2022, 29(9): 16-20.
[12] LI Xiang, FENG Ying-pu, MENG Xiao-jing, ZHOU Li-min, HUO Xiao-ran, XU Meng-min, WANG Hao. Best Evidence Summary of Oral Health Management for Stroke Patients [J]. Journal of Nursing, 2022, 29(9): 36-41.
[13] LIU Dong-yan, WANG Hui-yu, TAN Chun-rong, GUO Wei, AN Xiang, GAO Ran, ZHANG Ya-fei, GUO Da-wei. Evaluation and Residual Value Utilization of Scrapped Surgical Instruments [J]. Journal of Nursing, 2022, 29(8): 19-22.
[14] CHEN Fang-fang, YE Ling-xiao, HU Yan, ZHENG Ya-hua, LI Juan, LOU Ke-nan, LIU Mei, HU Kang-li. Best Evidence Summary of Early Exercise Rehabilitation after Pacemaker Implantation [J]. Journal of Nursing, 2022, 29(8): 53-58.
[15] REN Peng-na, HU Xiao-yi, TANG Ai-ling, ZHANG Yue, XU Fang-lei. Construction of Evidence-based Nursing Plan for Discharge Preparation of Elderly Patients with Urinary Incontinence [J]. Journal of Nursing, 2022, 29(6): 7-10.
Viewed
Full text


Abstract

Cited
  Shared   
[1] ZHANG Jia-hui, PANG Shu-qin, HONG Xue-pei, ZHENG Zhi-hui, LI Mian-li, HUANG Yu-feng, WANG Wei-jun. Translation of Process of Retirement Planning Scale for pre-elderly people and its reliability and validity[J]. Journal of Nursing, 2023, 30(10): 1 -6 .
[2] . [J]. Journal of Nursing, 2023, 30(10): 35 -39 .
[3] . [J]. Journal of Nursing, 2023, 30(10): 68 -72 .
[4] ZHAO Xu, ZHAO Ya-ning, LI Jian-min, LIU Yao, ZHAO Da-ye, CHEN Chang-xiang. Construction of prognostic model of acute ischemic stroke in elderly individuals based on inflammatory and nutritional indicators[J]. Journal of Nursing, 2023, 30(11): 1 -6 .
[5] . [J]. Journal of Nursing, 2023, 30(11): 31 -35 .
[6] . [J]. Journal of Nursing, 2023, 30(11): 47 -52 .
[7] . [J]. Journal of Nursing, 2023, 30(11): 53 -58 .
[8] WANG Jing-rong, WEN Xiu-lin, QIAO Li-na, JIN Xian-zhen, FAN Hui, LIU Xuan-xuan, LUO Li-qun, XIAO Qian. Construction of core care skill index system for family caregivers of patients with enterostomy in early stage[J]. Journal of Nursing, 2023, 30(12): 1 -6 .
[9] GUO Nan, LIU Jian-jian, YUE Peng. Affective interaction between dementia patients and relative caregivers based on grounded theory: a qualitative study[J]. Journal of Nursing, 2023, 30(12): 7 -12 .
[10] LIU Ang, ZHANG Can-ling, SUN Yan-jun, TAO Jun-rong, GONG Kai-xue, MENG Li-hong. Effect of Kiken Yochi training combined with Kirkpatrick model in training of emergency comprehensive ability of nursing undergraduates[J]. Journal of Nursing, 2023, 30(12): 27 -30 .