化疗致味觉改变评估及护理的最佳证据总结
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女,硕士,主管护师

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复旦大学-复星护理科研基金(FNF201825)


Summary of best evidence on assessment of and nursing measures for chemotherapy-induced taste alteration
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    目的 总结化疗所致味觉改变(CITA)评估及护理的相关证据,为临床护理人员对味觉改变展开规范化评估和管理提供参考。方法 针对CITA的护理提出循证问题,通过美国国家综合癌症网络(NCCN)、Best Practice、美国指南网(NGC)、澳大利亚循证卫生保健中心(JBI)、Cochrane数据库检索近10年CITA的相关研究。对符合质量标准的文献进行资料提取和证据归纳。结果 纳入8篇文献,包含2篇证据总结、1篇最佳实践推荐及5篇系统评价。总结出在特定临床情景下具备可行性及适宜性的最佳证据共7条,包括CITA的筛查与评估、预防及干预等。结论 护理人员可遵循最佳证据来完善肿瘤内科CITA的管理,促进化疗相关症状的循证实践。

    Abstract:

    Objective To search, analyze and summarize the evidence on assessment of and nursing measures for chemotherapy-induced taste alteration(CITA), and to provide reference basis for clinical nurses to carry out standardized assessment and management. Methods The evidence-based nursing approach was applied to raise questions on CITA care, and then CITA related studies published in the last 10 years were searched in the databases or websites of National Comprehensive Cancer Network, BMJ Best Practice, National Guideline Clearinghouse (NGC), Cochrane library. The data of included literature that met quality standards were extracted and the best evidence was summarized from the literature. Results A total of 8 publications were included, among which, there were 2 evidence summaries (ES), 1 best practice recommendation statement (BP) and 5 systematic reviews (SR). Seven pieces of evidence that enjoyed feasibility and suitability in specific clinical situations were summarized, including CITA screening and assessment, prevention and intervention methods, etc. Conclusion Nursing staff can follow the summarized best evidence to improve management of CITA in oncology department, narrow the gap between the best evidence and clinical practice, and promote evidence-based management of chemotherapy-related symptoms.

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董元鸽,张晓菊,陆箴琦,杨瑒,汪洋,陈凤珍.化疗致味觉改变评估及护理的最佳证据总结[J].护理学杂志,2020,35(12):33-37

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  • 收稿日期:2019-11-24
  • 最后修改日期:2020-01-04
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  • 在线发布日期: 2022-09-06