乳腺癌相关淋巴水肿患者佩戴弹力袖套的最佳证据总结
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女,本科,主管护师

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湖北省自然科学基金面上项目(2024AFB860)


Summary of best evidence on wearing compression sleeves in patients with breast cancer-related lymphedema
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    摘要:

    目的 评价并总结乳腺癌相关淋巴水肿患者佩戴弹力袖套的相关证据,为规范佩戴弹力袖套提供参考。方法 遵照“6S”证据模型,检索乳腺癌相关淋巴水肿患者佩戴弹力袖套的相关证据,检索时限为建库至2025年1月,对文献进行质量评价、证据级别评定和证据汇总。结果 共纳入17篇文献,其中最佳实践2篇、临床决策1篇、指南5篇、专家共识1篇、系统评价1篇、随机对照试验7篇。从佩戴袖套的适应证、禁忌证、治疗方案、袖套种类、压力选择、日常监测及注意事项7个方面汇总了22条最佳证据。结论 总结的乳腺癌相关淋巴水肿患者佩戴弹力袖套的最佳证据为临床实践提供了循证依据,医护人员需要结合具体情况准确评估和使用。

    Abstract:

    Objective To evaluate and summarize relevant evidence on wearing compression sleeves in patients with breast cancer-related lymphedema, so as to provide a reference for standardized wearing of compression sleeves.Methods Following the "6S" evidence model, the evidence on wearing compression sleeves in patients with breast cancer-related lymphedema were searched from database inception to January 2025, the quality of literature was assessed, and the level of evidence were evaluated and summarized.Results A total of 17 articles were included, consisting of 2 best practices, 1 clinical decision, 5 guidelines, 1 expert consensus statement, 1 systematic review, and 7 randomized controlled trials.Totally 22 pieces of best evidence on wearing compression sleeves were summarized and categorized into 7 aspects:indications, contraindications, treatment plans, types of cuff wearing, pressure selection, daily monitoring and precautions.Conclusion The best evidence on wearing compression sleeves in patients with breast cancer-related lymphedema provides evidence for clinical practice, and medical staff should accurately evaluate and use according to the specific situation.

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周慧敏,陈婷,胡琪,喻姣花,周元华,胡小艳.乳腺癌相关淋巴水肿患者佩戴弹力袖套的最佳证据总结[J].护理学杂志,2025,(19):52-57

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  • 收稿日期:2025-05-14
  • 最后修改日期:2025-07-08
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  • 在线发布日期: 2025-11-11