胃食管反流病患者自我管理干预的最佳证据总结

Summary of the best evidence for self-management intervention in patients with gastroesophageal reflux disease

目的系统检索、评价、汇总胃食管反流病患者自我管理的最佳证据,为临床护理人员制订胃食管反流病患者自我管理干预方案提供参考。方法通过系统检索国内外指南、文献数据库,并根据文献质量评价要求分别对纳入文献进行质量评价,邀请专家按FAME结构对总结的证据进行评价。结果共纳入9篇文献,最终汇总了胃食管反流病患者饮食、生活方式、用药、腹式呼吸训练、随访5个方面21条最佳推荐意见。结论胃食管反流病患者自我管理干预的最佳证据内容丰富,临床护理人员在临床工作中应根据医院具体情况,结合证据应用的促进和障碍因素应用相关证据。

Objective To systematically retrieve,evaluate,and summarize the best evidence of self-management in patients with gastroesophageal reflux disease,so as to provide references for clinical nurses to formulate self-management intervention programs for patients with gastroesophageal reflux disease.Methods Through systematic retrieval of domestic and foreign guides and literature databases,the quality of the included literature was evaluated separately according to requirements of literature quality evaluation.Experts were invited to evaluate the summarized evidence according to the feasibility,appropriateness,meaningfulness,and effectiveness(FAME)structure.Results A total of 9 articles were included.Finally,the 5 aspects of diet,lifestyle,medication,abdominal breathing training,and follow-up of patients with gastroesophageal reflux disease were summarized,and a total of 21 best recommendations were made.Conclusions The best evidence for self-management intervention in patients with gastroesophageal reflux disease is rich in content.In clinical work,clinical nurses should apply relevant evidence based on the specific circumstances of the hospital,combined with the promotion and obstacle factors of evidence application.