退行性脊柱畸形患者自我管理的最佳证据总结

Summary of the best evidence for self-management in patients with degenerative spinal deformity

目的系统检索、评价并总结关于退行性脊柱畸形患者自我管理的最佳证据,为医护人员实施健康教育和患者进行自我管理提供循证依据。方法按照"6S"证据模型自上而下检索指南网站、循证数据库及中英文综合数据库中关于退行性脊柱畸形自我管理的文献,包括指南、临床实践、专家共识、证据总结、系统评价和随机对照研究,检索时限为建库至2023年3月31日。由2名研究者分别独立进行文献质量评价和资料提取,结合本领域专家判断,对符合质量的文献进行证据提取和总结。结果共纳入12篇文献,其中指南1篇、专家共识1篇,临床决策2篇,系统评价5篇,随机对照研究3篇。从健康教育、运动管理、支具管理和日常生活管理4个方面总结了30条最佳证据。结论总结了退行性脊柱畸形患者自我管理的最佳证据,可为临床医护人员提供借鉴和参考,指导患者科学合理地进行自我管理,以期改善疾病相关临床结局,提高生命质量。

Objective To systematically retrieve,evaluate,and summarize the best evidence on self-management in patients with degenerative spinal deformity,and to provide an evidence-based basis for healthcare professionals to implement health promotion and for patients to engage in self-management.Methods According to the"6S"evidence model,a top-down search was conducted,including relevant guideline websites,evidence-based databases,and comprehensive databases in English and Chinese,with the search period ranging from establishing the database to March 31,2023.Two researchers independently evaluated the quality of the literature,extracted information,and summarized the evidence for the quality of the literature.Results A total of 12 publications were included,including 1 guideline,one expert consensus,two clinical decisions,five systematic reviews,and three randomized controlled trials.The best evidence was summarized in 30 items in 4 domains:health education,exercise management,brace management and daily life management.Conclusions This study summarized the best evidence of self-management in patients with degenerative spinal deformities,which could provide lessons and references for clinical healthcare professionals to guide patients to self-manage scientifically and rationally,intending to improve disease-related clinical outcomes and quality of life.