帕金森患者失眠管理的最佳证据总结

doi:10.3761/j.issn.1672-9234.2023.10.013

摘要/Abstract

摘要：

目的评价并总结帕金森患者失眠管理的相关证据，为制订科学、有效的帕金森患者失眠管理方案提供循证依据。方法检索UpToDate、BMJ Best Practice、JBI循证资源数据库、PubMed、Embase、中国知网、中国生物医学文献数据库、万方等中英文数据库中与帕金森患者失眠管理相关的指南、专家共识、临床决策、推荐实践、系统评价。检索时限为建库至2022年11月。由2名研究者对文献质量进行评价和证据提取、汇总，并对纳入文献评定证据级别。结果最终纳入文献14篇，其中指南5篇、专家共识3篇、推荐实践1篇、临床决策3篇和系统评价2篇。从帕金森患者失眠的评估及工具选择、用物管理、非药物干预3个方面汇总了20条最佳证据。结论该研究总结了帕金森患者失眠管理的最佳证据，可为临床护理人员实践提供参考。护理人员应结合临床实际情况和患者个体因素选择最佳证据，指导帕金森患者改善失眠，提高生活质量。

关键词: 帕金森病, 入睡和睡眠障碍, 护理, 证据总结

Abstract:

Objective To evaluate and summarize the relevant evidence for the management of insomnia in Parkinson’s patients，and provide evidence-based basis for formulating scientific and effective insomnia management programs for Parkinson’s patients. Methods We searched for clinical decisions，guidelines，expert consensus，evidence summary，recommended practices，and systematic reviews related to the management of insomnia in Parkinson’s patients in UpToDate，BMJ best practice，JBI evidence-based practice database，PubMed，Embase，CNKI，SinoMed，Wanfang and other Chinese and English data. The search period is from the establishment of the database to November 2022. Two authors evaluated the quality of the literature，extracted and summarized the evidence，and assessed the level of evidence for inclusion. Results Finally，14 articles were included，including 5 guidelines，3 expert consensuses，1 best practice，3 clinical decision-making，and 2 systematic reviews. Twenty best evidence was summarized from three aspects：assessment of insomnia risk factors and assessment tools，drug management，and non-drug management in Parkinson’s patients. Conclusion This study summarizes the best evidence on the management of insomnia in Parkinson’s patients，which can provide a reference for the practice of clinical medical staff. Medical staff should select the best evidence based on clinical reality and individual patient factors to guide Parkinson’s patients to improve insomnia and improve the quality of life.

Key words: Parkinson’s Disease, Sleep Initiation and Maintenance Disorders, Nursing Care, Evidence summary

李月, 侯朝铭, 高静, 柏丁兮, 蔡明瑾, 谢雪梅. 帕金森患者失眠管理的最佳证据总结[J]. 中华护理教育, 2023, 20(10): 1223-1228.

LI Yue, HOU Chaoming, GAO Jing, BAI Dingxi, CAI Mingjin, XIE Xuemei. Summary of the best evidence for the management of insomnia in patients with Parkinsonism[J]. Chinese Journal of Nursing Education, 2023, 20(10): 1223-1228.

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