主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2023, Vol. 23 ›› Issue (3): 399-404.doi: 10.3969/j.issn.1672-1756.2023.03.015

• 恶性肿瘤护理专题 • 上一篇    下一篇

化疗相关性恶心呕吐风险评估的证据总结

刘佳惠 胡美华 邓诗佳 戚熠 李旭英 张清慧 李金花   

  1. 湘雅循证实践与健康创新中心:JBI协作组,湖南省肿瘤医院乳腺内科,410003 长沙市(刘佳惠);护理部(胡美华,李旭英,张清慧,李金花);胸部放疗科(邓诗佳);肝胆肠外科(戚熠)
  • 出版日期:2023-03-15 发布日期:2023-03-15
  • 通讯作者: 胡美华,硕士,主任护师,科护士长,E-mail:360357983@qq.com
  • 作者简介:刘佳惠,硕士,护师
  • 基金资助:
    湖南省卫生健康委员会2020年度科研立项课题(20201632);2021年度湖南省卫生健康委员会科研立项课题(202114011259)

Evidence summary for the assessment of risk for Chemotherapy-Induced Nausea and Vomiting

LIU Jiahui, HU Meihua, DENG Shijia, QI Yi, LI Xuying, ZHANG Qinghui, LI Jinhua   

  1. Department of Breast Medicine, Hunan Cancer Hospital, Changsha, 410003, China
  • Online:2023-03-15 Published:2023-03-15
  • Contact: E-mail:360357983@qq.com

摘要: 目的:全面检索、汇总并分析化疗相关性恶心呕吐(CINV)风险评估的证据。方法:计算机检索临床决策网站、指南网站、专业协会网站、循证文献资源库以及原始文献数据库中有关国内外CINV风险评估的临床决策、指南、专家共识、证据总结、系统评价等,并对符合纳入标准的文献进行方法学质量评价,结合专业判断、临床情境提取证据并进行汇总。结果:共纳入22篇文献,其中临床决策5篇,指南8篇,专家共识4篇,系统评价5篇。从症状评估、风险因素、评估时机、评估工具与评估者5个方面共汇总了12条证据。结论:证据总结为医疗机构建立CINV风险评估制度、流程和实践标准,规范开展CINV风险评估提供了循证依据。医护人员应结合临床情境和专业判断,合理地应用证据,以精准评估其相关风险。

关键词: 化疗相关性恶心呕吐;风险因素;评估;证据总结

Abstract: Objective: To comprehensively search, summarize, and analyze summaries of the best evidence for risk assessment of Chemotherapy-Induced Nausea and Vomiting. Methods: Computerized systematic searches of clinical decision websites, major guideline websites, professional association websites, evidence-based literature repositories, and major literature databases for clinical decisions, guidelines, expert consensus, evidence summaries, and systematic reviews on Chemotherapy-Induced Nausea and Vomiting and risk factor assessment in China and abroad were conducted, and methodological quality evaluations were performed and summarized to extract evidence with professional judgment and clinical context. Results: A total of 22 papers were included, including 5 clinical decisions, 8 guidelines, 4 expert consensus, and 5 systematic reviews. A total of 12 pieces of evidence were summarized from 5 directions: symptom assessment, risk factors, assessment timing, assessment tools and assessors. Conclusion: Evidence summaries provide an evidence-based basis for improving the accuracy of risk assessment for Chemotherapy-Induced Nausea and Vomiting, and healthcare providers should establish a Chemotherapy-Induced Nausea and Vomiting risk assessment form, assessment process, and practice standards. Healthcare professionals should apply the evidence in a rational manner, taking into account clinical situations and professional judgment, in order to accurately assess their associated risks.

Key words: Chemotherapy-Induced Nausea and Vomiting; risk factor; assessment; evidence summary

中图分类号:  R47;R197