摘要
目的系统检索、评估、总结腹膜透析(PD)患者高磷血症管理的证据。方法使用PIPOST模式确定循证问题,按照证据金字塔“6S”证据模型自上而下检索Up To Date临床顾问、BMJ最佳临床实践、国际指南协作网、Cochrane图书馆等网站、肾病专业协会中与PD患者高磷血症管理相关的临床决策、指南、证据总结、行业标准、规范、推荐实践、专家共识、meta分析、系统评价、随机对照试验。检索时限从2012年1月1日-2022年10月31日。由2名研究者独立对文献质量进行评价并提取相关证据。结果共纳入17篇文献,包括临床决策实践3篇、指南9篇、专家共识2篇、证据总结1篇、meta分析共1篇、标准操作规程1篇,共提取了24条关于PD患者高磷血症管理的证据,包括高磷血症管理原则、饮食管理、药物管理、透析管理、健康教育、随访6个方面。结论本研究总结了PD患者高磷血症管理的证据,可为临床医护人员制定PD患者高磷血症管理方案提供依据。
Objective To systematically search,evaluate,and summarize the evidence related of hyperphosphatemia management in peritoneal dialysis(PD)patients.Methods Using the PIPOST model to identify evidence-based questions,according to Pyramid"6S"evidence model from top to bottom,clinical decisions,guidelines,evidence summaries,standards,specifications,recommended practices,consensus,meta-analysis,systematic reviews,and randomized controlled trials related to hyperphosphatemia management in PD patients were searched from the websites and nephrology associations such as Up To Date Clinical Consultant,BMJ Best Clinical Practice,Guidelines International Network,and Cochrane Library to collect from January 1,2012,to October 31,2022.Two researchers independently evaluated the literature quality and extracted relevant evidence.Results A total of 17 literatures were included,including 3 clinical decision-making practices,9 guidelines,2 expert consensuses,1 evidence summary,1 meta-analysis,1 standard operating procedure.A total of 24 evidences on the management of hyperphosphatemia in PD patients were extracted,including 6 aspects of hyperphosphatemia management principles,dietary management,medication management,dialysis management,health education,and follow-up.Conclusion This study summarizes the evidence of hyperphosphatemia management in PD patients,which can provide a basis for clinical medical staff to formulate a management plan of hyperphosphatemia in PD patients.
作者
尹晓静
黄柳燕
陈芬荣
白艳
张帆
孙秋子
YIN Xiaojing;HUANG Liuyan;CHEN Fenrong;BAI Yan;ZHANG Fan;SUN Qiuzi(Longhua Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China)
出处
《护士进修杂志》
2024年第5期517-523,538,共8页
Journal of Nurses Training
基金
龙华医院第三批专科护士培养计划项目(编号:RC-2021-03-07)
上海现代护理职业教育集团特聘兼职教师资助计划项目(编号:hlzjtpgr202327)。
关键词
腹膜透析
终末期肾病
高磷血症
证据总结
循证护理
peritoneal dialysis
end-stage renal disease
hyperphosphatemia
summary of evidence
evidence-based nursing