产后压力性尿失禁康复管理的最佳证据总结

doi:10.3761/j.issn.1672-9234.2024.02.016

摘要/Abstract

摘要：

目的总结产后压力性尿失禁患者康复管理相关证据。方法计算机检索BMJ、UpToDate、相关指南及专业学会网站、PubMed、Cochrane Library、Embase、Web of Science、中国知网、万方数据库、维普、中国生物医学文献服务系统、澳大利亚乔安娜布里格斯研究所循证卫生保健中心数据库中与产后压力性尿失禁康复管理相关的临床决策、指南、专家共识、证据总结、系统评价。检索时限为建库至2023年7月25日。由研究者筛选文献、提取资料并对纳入文献质量进行评价后，对证据进行提取、汇总及分级。结果共纳入10篇文献，包括1篇指南，2篇临床决策，5篇系统评价，证据总结2篇。从产后压力性尿失禁评估、康复治疗、健康教育3个方面总结了17条最佳证据。结论本研究总结了产后压力性尿失禁康复管理的最佳证据，可为医护人员开展产后压力性尿失禁患者康复指导工作提供借鉴。

关键词: 产后, 压力性尿失禁, 康复管理, 循证护理学

Abstract:

Objective To summarize the evidence related to rehabilitative care for patients with postpartum stress urinary incontinence. Methods Computerized search was conducted for clinical decisions，guidelines，expert consensus，evidence summaries and systematic reviews related to rehabilitation of postpartum stress urinary incontinence in the BMJ，UpToDate，related guideline or association websites，PubMed，Cochrane Library，Embase，Web of Science，CNKI，Wanfang Data，VIP，and China Biomedical Literature Service System. The retrieval time was from the database establishment to July 2023. Researchers independently screened literature，extracted data，and evaluated the quality of the included literature. The evidence was extracted from the included literatures，and the best evidence was summarized，then its quality was graded. Results A total of ten articles were included，including one guideline，two clinical decisions，five systematic review，and two evidence summaries，resulting in 17 pieces of best evidence in three areas：assessment of postpartum stress urinary incontinence，rehabilitation therapy and health education. Conclusion This study summarizes the best evidence for rehabilitative management of postpartum stress urinary incontinence and provides healthcare professionals with guidance for rehabilitative management of patients with postpartum stress urinary incontinence.

Key words: Postpartum, Stress urinary incontinence, Rehabilitation management, Evidence-based nursing

李梦洁, 苟晓瑜, 卢楠, 迟嘉婧, 于万慧, 杨丽娟. 产后压力性尿失禁康复管理的最佳证据总结[J]. 中华护理教育, 2024, 21(2): 224-230.

LI Mengjie, GOU Xiaoyu, LU Nan, CHI Jiajing, YU Wanhui, YANG Lijuan. Summary of the best evidence for rehabilitative management of postpartum stress urinary incontinence[J]. Chinese Journal of Nursing Education, 2024, 21(2): 224-230.

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