尿失禁患者自我管理的最佳证据总结

Summary of the best evidence for self-management in patients with urinary incontinence

目的检索、评价和总结尿失禁患者自我管理的相关证据。方法计算机检索the Cochrane Library、JBI循证卫生保健数据库、英国国家医疗保健优化研究所、欧洲泌尿协会、加拿大产科医生和妇科医生协会、日本泌尿协会、妇女预防服务倡议、PubMed、Web of Science、中国生物医学文献数据库、中国知网、万方数据库。检索时限为建库至2021年3月。对纳入的文献质量进行评价,并对文献进行证据提取。结果共纳入符合质量标准的文献12篇,汇总最佳证据21条,包括筛查评估、生活方式、功能锻炼、药物治疗、随访5个方面。结论临床医护人员应在循证并结合实际情况和患者意愿情况下,选择性地应用尿失禁患者自我管理的最佳证据,对尿失禁患者实施自我管理干预。

Objective To retrieve,evaluate,and summarize the evidence of self-management in patients with urinary incontinence.Methods The Cochrane Library,JBI Evidence-based Health Care Database,UK National Institute for Healthcare Excellence,European Urological Association,Canadian Association of Obstetricians and Gynaecologists,Japan Urological Association,Women’s Preventive Services Initiative,PubMed,Web of Science,China Biomedical Literature Database,CNKI,Wanfang Data were searchered.The retrieval time was from the establishment of the database to March,2021.The quality of the included literatures was evaluated,and evidence was extracted from the literatures.Results A total of 12 literatures meeting the quality standards were included,and 21 pieces of best evidence were finally collected,including screening assessment,lifestyle,functional exercise,drug therapy,and follow-up.Conclusion Clinical medical staff should selectively apply the best evidence of the self-management of patients with urinary incontinence to implement self-management intervention for patients with urinary incontinence on the basis of evidence and in combination with the actual situation and patients’wishes.