癌症治疗相关高血压患者血压管理的证据总结

Patients'blood pressure management of cancer therapy-related hypertension:an evidence summary

目的:系统检索并汇总国内外癌症治疗相关高血压患者血压管理的相关证据,为临床护理实践提供参考。方法:按照6S模型,在循证指南网站及相关数据库中系统检索关于癌症治疗相关高血压患者血压管理的证据总结、临床决策、推荐实践、指南、系统评价、专家共识、科学立场声明等,检索时限为建库至2024年1月。对纳入文献进行质量评价并提取、总结、形成证据。结果:共纳入16篇文献,其中指南6篇、专家共识5篇、临床决策1篇、系统评价1篇、科学立场声明3篇,从建立多学科团队、风险评估及预防、血压监测、治疗及管理策略4个方面形成了27条证据。结论:该研究总结了癌症治疗相关高血压患者血压管理的证据,医护人员在证据应用时可充分考虑临床实际情境及循证证据,不断完善血压管理方案,改善患者结局。

Objective:To search and summarize the evidence of blood pressure management about cancer therapy�related hypertension,and provide implications for clinical nursing practice.Methods:Based on 6S model,clinical decisions,recommendation practice,guidelines,systematic reviews,expert consensus,scientific statements on the monitoring and management of cancer therapy-related hypertension were systematically searched in the evidence-based guide websites and related databases for evidence summaries.The retrieval period was from inception of databases to January 2024.The quality of the included literature was evaluated and the content of the literature was extracted to summarize the evidence.Results:A total of 16 articles,including 6 guidelines,5 expert consensus,1 clinical decision-making,1 systematic review,and 3 scientific position statements.A total of 27 pieces of evidence were generated from multidisciplinary team building,risk assessment and prevention,blood pressure monitoring,treatment,and management strategies.Conclusion:This study summarized the evidence of monitoring and management of cancer therapy-related hypertension.To provide patients with optimal strategies and improve clinical outcomes,health care professionals should fully combined clinical practice with evidence-based evidence when applying the evidence.