低视力病人康复护理的最佳证据总结

Summary of best evidence for rehabilitation nursing for low vision patients

目的:系统评价并整合低视力病人康复实践的最佳证据,为临床实施低视力康复护理提供指导。方法:计算机检索国内外网站或数据库中关于低视力病人康复策略及护理的相关文献,包括临床决策、证据总结、指南、专家共识及系统评价,检索时限从建库至2022年10月31日。结果:共纳入27篇文献,其中指南3篇、专家共识1篇、系统评价23篇,最终形成了包括康复前准备、康复评估、康复策略、康复干预措施、健康宣教、随访计划6个方面,共43条最佳证据。结论:本研究纳入的文献总体质量较高,但纳入文献大部分来源于国外;临床实践中,医护人员应结合病人的具体情况及意愿将低视力康复的最佳证据转化为临床实践,以提高病人的生活质量。

Objective:To systematically evaluate and integrate the best evidence of rehabilitation practice for patients with low vision,and provide guidance for clinical implementation of rehabilitation nursing for low vision patients.Methods:The relevant literature on rehabilitation strategies and care for patients with low vision,including clinical decisions,evidence summaries,guidelines,expert consensus and systematic reviews,was searched by computer from domestic and foreign websites or databases from the establishment of the database to October 31,2022.Results:A total of 27 articles were included,including 3 guidelines,1 expert consensus and 23 systematic reviews,and a total of 43 pieces of best evidence were finally formed in 6 aspects,including pre-implementation preparation,rehabilitation assessment,rehabilitation strategy,rehabilitation intervention measures,health education and follow-up plan.Conclusion:The literature included in this study is of high quality,but most of the included literature came from abroad.In clinical practice,medical staff should translate the best evidence of low vision rehabilitation into clinical practice according to the specific situation and willingness of patients,so as to improve patients′quality of life.