失眠病人非药物预防及管理干预最佳证据

Best evidence of non drug prevention and management intervention for insomnia patients

目的:对失眠病人非药物预防及管理干预的相关证据进行遴选,总结最佳证据。方法:使用计算机检索the Cochrane Library、PubMed、BMJ Best Practice、Joanna Briggs Institute(JBI)循证卫生保健中心数据库、英国国家临床医学研究所指南库(National Institute for Health and Care Excellence,NICE)、护理文献累积索引数据库(CINAHL)、Web of Science、Elsevier、万方数据库、中国知网(CNKI)、医脉通等数据库关于失眠病人预防及管理干预的所有证据,包括系统评价、原始研究、指南;文献检索年限截至2020年5月31日;由2名研究者独立筛选文献并评价纳入的文献质量后提取符合质量标准的文献证据。结果:共纳入文献12篇,包括系统评价1篇、随机对照试验10篇,指南1篇,最终总结了19条最佳证据。结论:在应用证据时,证据选择应有针对性,结合临床环境、文化背景、医护人员应用证据的促进因素及阻碍因素、病人意愿等,以科学的护理方法应用于失眠病人,从而提高病人生活质量。

Objective:To select the evidence of non drug prevention and management intervention for insomnia patients and summarize the best evidences.Methods:All the evidences about the prevention and management intervention of insomnia patients were searched from the Cochrane Library,PubMed,BMJ Best Practice,JBI evidence-based Health Care Center database,NICE,CINAHL,Web of Science,Elsevier,WanFang database,CNKI,Yimaitong and other databases by computer.The literature retrieval time was up to May 31,2020.Two researchers independently screened the literature and evaluated the quality of the included literature,and then extracted the literature evidence that met the quality criteria.Results:A total of 12 papers were included,including 1 systematic review,10 randomized controlled trials,and 1 guideline.Finally,19 best evidences were summarized.Conclusion:In the application of evidence,evidence selection should be targeted,combined with the clinical environment,cultural background,promotion and obstructive factors of medical using evidence factors,patients′will,throught the scientific nursing methods the evidence should be applied to insomnia patients,so as to improve the quality of life of patients.