结直肠癌化疗患者癌因性疲乏中医护理干预的证据总结
作者:
中图分类号:

R248;R273

基金项目:

广州市科技局市校(院) 联合资助(登峰医院) 基础研究项目(202201020572)


Summary of Evidence of Chinese Medicine Nursing Intervention for Cancer-Related Fatigue in Colorectal Cancer Patients Undergoing Chemotherapy
Author:
  • ZHONG Yingwen

    ZHONG Yingwen

    1. The First Clinical Medical School of Guangzhou University of Chinese Medicine,Guangzhou Guangdong 510006,China;2. Zhejiang Provincial Peoples Hospital, Hangzhou Zhejiang 310014, China; 3. The First Affiliated Hospital of Guangzhou University of Chinese Medicine/Guangdong Province Institute of Clinical Research in Traditional Chinese Medicine,Guangzhou Guangdong 510405,China
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  • FAN Yidan

    FAN Yidan

    1. The First Clinical Medical School of Guangzhou University of Chinese Medicine,Guangzhou Guangdong 510006,China;2. Zhejiang Provincial Peoples Hospital, Hangzhou Zhejiang 310014, China; 3. The First Affiliated Hospital of Guangzhou University of Chinese Medicine/Guangdong Province Institute of Clinical Research in Traditional Chinese Medicine,Guangzhou Guangdong 510405,China
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  • GUO Xuan

    GUO Xuan

    1. The First Clinical Medical School of Guangzhou University of Chinese Medicine,Guangzhou Guangdong 510006,China;2. Zhejiang Provincial Peoples Hospital, Hangzhou Zhejiang 310014, China; 3. The First Affiliated Hospital of Guangzhou University of Chinese Medicine/Guangdong Province Institute of Clinical Research in Traditional Chinese Medicine,Guangzhou Guangdong 510405,China
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  • LIN Xuemei

    LIN Xuemei

    1. The First Clinical Medical School of Guangzhou University of Chinese Medicine,Guangzhou Guangdong 510006,China;2. Zhejiang Provincial Peoples Hospital, Hangzhou Zhejiang 310014, China; 3. The First Affiliated Hospital of Guangzhou University of Chinese Medicine/Guangdong Province Institute of Clinical Research in Traditional Chinese Medicine,Guangzhou Guangdong 510405,China
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    摘要:

    目的:检索、评价和总结结直肠癌化疗患者癌因性疲乏(CRF) 中医护理干预的相关证据,为临 床护理实践提供循证依据。方法:系统检索国内外数据库、指南网、专业协会网站中关于结直肠癌化疗患者 CRF中医护理干预的所有证据,包括指南、专家共识、证据总结、系统评价、随机对照试验、临床决策,检索 时限为2012年6月1日—2023年10月31日,由2名研究者独立进行文献质量评价,并结合专业判断进行标准 化的证据提取和汇总。结果:共纳入文献26篇,其中指南7篇、专家共识2篇、证据总结1篇、系统评价9篇、 随机对照试验6篇、临床决策1篇。最终从辨证分型、辨证施膳、中医运动调护、辨证施乐、穴位按摩、耳穴 疗法、灸法和中药用药指导8个方面总结出15条最佳证据。结论:总结出的最佳证据对临床护理人员制定科学 有效的结直肠癌化疗患者CRF中医护理方案具有指导意义,证据应用和转化时可充分结合患者的意愿、病情 轻重和临床实际情况,选择最佳的干预措施以减轻患者的疲乏,提高化疗期间的生活质量。

    Abstract:

    Abstract: Objective: To search, evaluate and summarize the relevant evidence of Chinese medicine nursing intervention for cancer-related fatigue (CRF) in colorectal cancer patients undergoing chemotherapy,so as to provide evidence for clinical nursing practice. Methods:All the evidence on Chinese medicine nursing intervention for CRF in colorectal cancer patients undergoing chemotherapy in domestic and foreign databases, websites of guidelines, and professional association websites were systematically searched, including guidelines, expert consensus, summary of evidence,systematic reviews,randomized controlled trials and clinical decisions. The search period was from June 1, 2012 to October 31, 2023. Literature quality was evaluated independently by two researchers, and standardized evidence was extracted and summarized in combination with professional judgment. Results: A total of 26 literature were included,including 7 guidelines,2 expert consensus,1 summary of evidence,9 systematic reviews,6 randomized controlled trials, and 1 clinical decision. Finally, 15 best evidences were summarized from 8 aspects, such as differentiated syndrome classification, differentated diets, Chinese medicine sports nursing, differentiated entertainment ways, acupoint massage, auricular point therapy, moxibustion and Chinese medicinal medication guidance. Conclusion: The best evidence summarized has guiding significance for clinical nurses to formulate scientific and effective Chinese medicine nursing plan for CRF in colorectal cancer patients undergoing chemotherapy. When applying and transforming the evidence,Chinese medicine practitioners can fully combine the will of patients, severity of disease and clinical reality to select the best intervention measures to reduce the fatigue of patients and improve the quality of life during chemotherapy.

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钟映雯,樊奕丹,郭旋,林雪梅.结直肠癌化疗患者癌因性疲乏中医护理干预的证据总结[J].新中医,2025,57(4):121-127

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  • 在线发布日期: 2025-03-03
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