儿童青少年非自杀性自伤行为预防及管理的最佳证据总结
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女,硕士,讲师

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河南省重点研发与推广专项项目(软科学研究)重点项目(212400410017);河南省医学教育研究项目(WJLX2024197)


Summary of the best evidence on prevention and management of non-suicidal self-injury behavior of children and adolescents
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    目的 检索、评价及总结儿童青少年非自杀性自伤行为预防及管理的相关证据,为护理人员提供科学、有效的预防非自杀性自伤的指导策略。方法 系统检索国内外数据库、相关指南网站及专业网站中关于儿童青少年非自杀性自伤的指南、最佳实践、专家共识、临床决策、系统评价和证据总结。检索时限为建库至2024年12月。由2名研究者独立进行文献质量评价、证据提取及整合。结果 最终纳入16篇文献,其中指南4篇、证据总结3篇、临床决策3篇、系统评价6篇。共总结28条证据,包括危险因素、风险评估与筛查、预防措施、治疗与护理、密切监测、专业团队6个方面。结论 儿童青少年非自杀性自伤行为预防及管理的最佳证据,可为护理人员提供科学合理的实践指导,建议护理人员在应用证据时充分考虑患者的特点、临床实际情况,制订个性化的预防与管理方案。

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    Objective To search, evaluate and summarize the relevant evidence of prevention and management of non-suicidal self-injury behavior of children and adolescents, and to provide scientific and effective guidance strategies for nurses to prevent non-suicidal self-injury.Methods The guidelines, best practice expert consensus, clinical decision-making, systematic reviews, and evidence summary about non-suicidal self-injury of children and adolescents in domestic and foreign databases, related guideline websites and professional websites were systematically searched.The retrieval time limit was until December 2024.Literature quality appraisal, evidence extraction and integration were independently conducted by two researchers.Results Sixteen articles were finally included, encompassing 4 guidelines, 3 evidence summaries, 3 clinical decisions, 6 systematic reviews.A total of 28 pieces of evidence were summarized and factored into 6 aspects, including risk factors, risk assessment and screening, preventive measures, treatment and nursing, close monitoring, and professional teams.Conclusion The best evidence of prevention and management of non-suicidal self-injury behavior of children and adolescents provides scientific and reasonable practical guidance for nurses.It is suggested that nurses should fully consider patients′ own characteristics and clinical situation when applying the evidence and formulate personalized prevention and management plans.

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李娟,苗莹莹,徐晖.儿童青少年非自杀性自伤行为预防及管理的最佳证据总结[J].护理学杂志,2025,(9):84-89

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  • 收稿日期:2025-01-13
  • 最后修改日期:2025-02-28
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  • 在线发布日期: 2025-06-05