乳痈(急性乳腺炎)中西医结合健康管理方案的构建

Construction of an integrated Chinese and Western medicine health management plan for acute mastitis

目的:构建适合乳痈(急性乳腺炎)患者的中西医结合健康管理方案,以促进患者康复,减少不良反应的发生。方法:成立研究小组,检索第5版中华医典数据库及国内外数据库获取乳痈(急性乳腺炎)健康管理的相关证据。采用古籍载录证据质量评价表、临床指南研究与评估系统、A Measurement Tool to Assess Systematic Reviews 2、Cochrane偏倚风险评估手册、Joanna Briggs Institute(JBI)证据等级分级方法(2010版)与JBI证据推荐级别(2010版)对证据进行评价、分级和推荐。初步拟订乳痈(急性乳腺炎)中西医结合健康管理方案,结合专家咨询对方案做进一步完善。结果:最终纳入古籍文献326篇,随机对照试验44篇,临床实践指南1篇,系统评价6篇。专家咨询中专家判断系数为0.95,专家熟悉系数为0.88,专家权威系数为0.92。构建的乳痈(急性乳腺炎)中西医结合健康管理方案包括背景知识、具体实施方法2个部分,共5个维度、82条实施策略。结论:乳痈(急性乳腺炎)中西医结合健康管理方案基于循证研究方法和专家咨询法进行构建,内容具有一定的科学性和临床适用性,可用于乳痈(急性乳腺炎)患者的健康管理。

Objective To construct an integrated Chinese and Western medicine health management plan for patients with acute mastitis so as to promote the recovery of patients and reduce the occurrence of adverse reactions.Methods A research team was set up to search the fifth edition of Chinese Medical Dictionary database,domestic and foreign databases to obtain relevant evidence of health management of acute mastitis.The Evaluation Form of Evidence Quality recorded by ancient books,Appraisal of Guidelines for Research and Evaluation,A Measurement Tool to Assess Systematic Reviews 2,the Risk of Bias Tool in the Cochrane manual,Joanna Briggs Institute(JBI)quality level of evidence(2010 edition)and JBI grade of recommendation(2010 edition)were used to evaluate,grade and recommend the evidence.An integrated Chinese and Western medicine health management plan for acute mastitis was initially drafted,and the plan was further improved in conjunction with the expert consultation.Results Totals of 326 ancient literatures,44 randomized controlled trials,1 clinical practice guideline,and 6 systematic reviews were included.In expert consultation,the expert judgment coefficient was 0.95,and the expert familiarity coefficient was 0.88,and the expert authority coefficient was 0.92.The constructed integrated Chinese and Western medicine health management plan for acute mastitis in eluded two parts:background knowledge and specific implementation methods a total of 5 dimensions,and 82 implementation strategies.Conclusions The integrated Chinese and Western medicine health management plan for acute mastitis is constructed based on evidence-based research methods and expert consultation methods,and its content has certain scientificity and clinical applicability,and can be used for the health management of patients with acute mastitis.