乳腺癌术后淋巴水肿预防行为相关临床实践指南现况及内容研究

发布时间：2018-07-17 15:52

【摘要】：目的对国内外乳腺癌术后淋巴水肿预防行为相关临床实践指南内容进行总结分析,为构建适合我国的乳腺癌术后淋巴水肿预防行为临床实践指南提供参考。方法 2016年6月,通过计算机检索得到乳腺癌术后淋巴水肿预防行为相关临床实践指南,以纳入的相关临床实践指南为分析单位,提取相关的文献指南内容,根据内容提取主题。结果共纳入4篇英文临床实践指南和1篇中文临床实践指南,其中仅有1篇尚未更新。最终析出16条涉及淋巴水肿预防行为的推荐意见,按照提及频次由高到低前4项内容依次是:锻炼(5次)、压缩服装的使用(4次)、感染(蜂窝织炎)的处理(4次)、皮肤护理(4次)。结论国内关于乳腺癌术后淋巴水肿预防行为的指南和规范较少,研究人员应结合我国的实际情况,构建适合本土的针对乳腺癌术后淋巴水肿预防行为的临床实践指南。
[Abstract]:Objective to summarize and analyze the clinical practice guidelines related to the prevention behavior of lymphedema after breast cancer surgery at home and abroad, and to provide a reference for the construction of the clinical practice guide for the prevention of lymphedema after breast cancer surgery in China. Methods in June 2016, the prevention behavior of lymphedema after breast cancer surgery was obtained by computer retrieval. The practice guide, with the relevant guidelines for clinical practice as an analysis unit, extracted the relevant literature guide and extracted the subject according to the content. The results were included in 4 English clinical practice guidelines and 1 Chinese clinical practice guidelines, of which only 1 had not been updated. Finally, 16 recommendations for the prevention of lymphedema were proposed, according to the recommendations. The 4 contents of frequency from high to low were: exercise (5 times), use of compressed clothing (4 times), infection (cellulitis) treatment (4 times), skin care (4). Conclusion the domestic guidelines and regulations about the prevention behavior of lymphedema after breast cancer operation are less, and the researchers should combine the actual situation in China to build a suitable targeted milk for local breast cancer. Clinical practice guideline for prevention of postoperative lymphedema in adenocarcinoma.
【作者单位】：安徽医科大学护理学院;
【基金】：安徽省高校省级自然科学研究项目(KJ2013Z110)
【分类号】：R737.9

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