颅内动脉瘤介入术病人自我管理的最佳证据总结

Summary of the best evidence for self-management in patients with intracranial aneurysm undergoing intervention operation

目的:系统检索、评价和总结颅内动脉瘤介入术病人自我管理的相关证据,为临床制订基于证据的颅内动脉瘤介入术病人自我管理干预方案提供依据。方法:系统检索国内外相关指南网站、专业学会网站及PubMed、中国知网等数据库中关于颅内动脉瘤介入术病人自我管理的相关指南、专家共识、临床决策、系统评价等,检索时限为建库至2023年1月25日。结果:共纳入13篇文献,其中指南5篇,最佳实践1篇,专家共识5篇,系统评价2篇。从颅内动脉瘤介入术病人信息管理、围术期管理、症状与疾病管理、日常生活管理、情绪管理、社会管理、随访管理7个方面总结出26条最佳证据。结论:颅内动脉瘤介入术病人自我管理的最佳证据总结具有科学性和规范性,医护人员可结合临床情境,为颅内动脉瘤介入术病人提供个性化的自我管理指导。

Objective:To systematically search,evaluate and summarize the relevant evidence of self-management of intracranial aneurysm interventional patients,and provide evidence for clinical formulation of evidence-based self-management intervention programs for intracranial aneurysm interventional patients.Methods:The relevant guidelines,expert consensus,clinical decision and systematic review on self-management of intracranial aneurysm patients were systematically searched from domestic and foreign guideline websites,professional association websites,PubMed,CNKI and other databases,and the search time was established until January 25,2023.Results:A total of 13 articles were included,including 5 guidelines,1 best practice,5 expert consensus and 2 systematic reviews.26 best evidences were summarized from 7 aspects:information management,perioperative management,symptom and disease management,daily life management,emotional management,social management and follow-up management.Conclusions:The summary of the best evidence for self-management of intracranial aneurysm interventional patients is scientific and normative,and medical staff can provide personalized self-management guidance for intracranial aneurysm interventional patients in combination with clinical situations.