《成人癌因性疲乏临床护理指南》的构建研究

摘要

[目的]构建《成人癌因性疲乏临床护理指南》.[方法]复旦大学JBI循证护理合作中心组织专家,以JBI 循证卫生保健模式为理论框架,结合国内外指南构建方法,构建形成本土化的《成人癌因性疲乏护理指南》,并进行试点应用,从系统、护士和病人3个层面评价指南的应用效果.[结果]形成的《成人癌因性疲乏护理指南》主要包含癌因性疲乏症状筛查和评估、干预(一般性干预措施、对症处理、支持治疗)等方面的推荐意见,该指南在AGREE系统6个维度的标准化总分均高于85%,且临床实施过程具有可行性.[结论]遵循规范的指南构建方法形成了《成人癌因性疲乏护理指南》,经临床试用有一定的可行性,推广性有待进一步的研究.%Objective:To construct a Clinical Practice Guideline on cancer related fatigue (CRF) in adults.Method:Fudan EBN Collaborating Centre of the Joanna Briggs Institute (JBI) developed a localized "Clinical Practice Guideline:nursing care of cancer related fatigue in adults with cancer",using the JBI model of evidence-based healthcare as the theoretical framework,combined with the methods of constructing guidelines from China and foreign countries,carrying out pilot application,and evaluated its application effects from 3 aspects:system,nurses,and patients.Results:Clinical Practice Guideline:nursing care of cancer related fatigue in adults with cancer mainly included recommendations for screening and assessment of cancer related fatigue symptoms,intervention (general intervention,symptomatic treatment,and supportive care),etc.In the AGREE system,the standardized scores of the six dimensions were higher than 85%,and the clinical implementation process was feasible.Conclusion:Clinical Practice Guideline:nursing care of cancer related fatigue in adults with cancer was formed under the standard construction method of guidelines.The clinical trial had a certain feasibility,but the promotion needs further study.