老年胃食管反流病病人自我管理的最佳证据总结

Summary of the best evidence for self-management in elderly patients with gastroesophageal reflux disease

目的:汇总老年胃食管反流病病人自我管理的最佳证据,为制定全面、科学的自我管理方案提供依据。方法:采用PIPOST模式将临床问题转化为循证问题,并按照“6S”证据模型检索BMJ Best Practice、the Cochrane Library、PubMed、中国知网、万方数据库等国内外数据库及相关网站中关于老年胃食管反流病病人自我管理的临床决策、指南、最佳实践、专家共识、系统评价、证据总结。检索时限为建库至2023年3月1日。由2名研究者对文献进行质量评价,并进行证据汇总及分级。结果:共纳入21篇文献,包括3篇临床决策、6篇指南、1篇临床实践、6篇系统评价、5篇专家共识。最终形成包括目的、管理原则、指导内容、促进策略4个方面,共25条证据。结论:汇总的证据可为老年胃食管反流病病人自我管理的循证实践提供参考依据。

Objective:To summarize the best evidence of self-management in elderly patients with gastroesophageal reflux disease,and provide a basis for developing comprehensive and scientific self-management plans.Method:The PIPOST model was used to transform clinical questions into evidence-based questions,and the"6S"evidence model was used to search for clinical decisions,guidelines,best practices,expert consensus,systematic reviews,and evidence summaries related to self-management of elderly gastroesophageal reflux disease in domestic and foreign databases such as BMJ Best Practice,the Cochrane Library,PubMed,CNKI,WanFang Database,and related websites.The retrieval time was from the establishment of the database to March 1,2023.Two researchers conducted a quality evaluation of the literature and summarized and graded the evidence.The quality of the included literature was evaluated by two researchers,and the evidence was summarized and graded.Results:A total of 21 articles were included,including 3 clinical decisions,6 guidelines,1 clinical practice,6 systematic reviews,and 5 expert consensus articles.The final form includes the purpose,management principles,guiding content,promotion strategy 4 aspects,a total of 25 items.Conclusion:The summarized evidence can provide reference for the evidence-based practice of self-management in elderly patients with gastroesophageal reflux disease.