成年肿瘤患者癌因性疲乏筛查与评估的证据总结

Evidence Summary of Screening and Assessment of Cancer-related Fatigue in Adult Cancer Patients

目的评价总结成年肿瘤患者癌因性疲乏筛查与评估的最佳证据,为临床护理人员实施癌因性疲乏的管理提供参考。方法采用PICO的方法确定科学问题,明确检索策略和纳排标准,计算机检索建库至2019年3月Up To Date、苏格兰院际指南网、英国国家卫生与临床优化研究所、加拿大安大略注册护士协会、美国国立指南网、中国医脉通指南网、美国国家综合癌症网络、美国临床肿瘤协会、加拿大心理社会肿瘤协会、肿瘤护理协会、安大略省癌症护理中心、Cochrane Library、JBI图书馆、PubMed、中国知网、万方、维普及中国生物医学文献数据库关于成年肿瘤患者癌因性疲乏筛查和评估的证据,包括临床决策、临床指南、证据总结。由2名研究者对文献进行质量评价、证据提取与综合。结果共纳入文献6篇,包括临床决策1篇、指南4篇、证据总结1篇,最终总结出筛查时机、筛查工具、筛查者、评估时机、评估内容、评估者、筛查评估方法及培训8个方面12条最佳证据。结论成年肿瘤患者癌因性疲乏筛查与评估的最佳证据可为临床应用提供循证依据,护理人员可根据证据进行临床护理实践。

Objective To evaluate and summarize the best evidence of screening and assessment of cancer-related fatigue in adult cancer patients. Methods We searched the Up to Date, Scottish Intercollegiate Guidelines Network, National Institute for Health and Care Excellence, Registered Nurses Association of Ontario, National Guideline Clearinghouse, Chinese Medicine Guideline,National Comprehensive Cancer Network, American Society of Clinical Oncology, Canadian Society for Psychosocial Oncology, Oncology Nursing Society, Ontario Cancer Care Center, Cochrane Library, JBI library, PubMed, CNKI, Wanfang,VIP and CBM from the inception to March 2019, to collect literatures including guideline, evidence summary, recommended practice, system review about the best evidence of screening and assessment of cancer-related fatigue in adult cancer patients. Two researchers assessed the quality of literatures and extracted evidence from qualified literatures. Results Six articles were selected, including one clinical decision, four guidelines and one evidence summary. Eight categories(screening time, screening tools, screening practitioners, assessment time,assessment practitioners, assessment contents, screening and assessment methods and training)and totally 12 items of best evidence were summarized. Conclusion The best evidence for screening and evaluation of cancer-related fatigue in adult cancer patients can provide evidence-based basis for clinical application, and nursing staff can conduct clinical nursing practice based on the evidence.