围绝经期血管舒缩症状健康管理的最佳证据总结OA
Health management of perimenopausal vasomotor symptoms:a summary of best evidence
目的:为形成围绝经期血管舒缩症状健康管理的临床实践理论依据,本研究系统检索并汇总了该领域相关最佳证据.方法:严格遵循"6S"证据模型,采用自上而下的检索策略,系统检索国内外主要数据库、相关指南网站以及专业学术机构发布的有关文献,涵盖专家共识、临床指南、系统评价、随机对照试验、最佳证据总结和Meta分析等类型,检索时间范围为各数据库建库起至2025年4月30日.2名研究者分别独立进行文献筛选、质量评估与数据提取工作,最终整合符合标准的证据内容并进行归纳总结.结果:最终纳入14篇文献,涵盖临床决策分析1篇、系统评价1篇、临床实践指南4篇、专家共识4篇以及随机对照试验4篇.从症状评估与监测、生活方式干预、身心技巧、营养管理、运动管理、中医适宜技术6个方面,共总结23条最佳证据.结论:围绝经期血管舒缩症状管理应遵循以病人为中心、非药物干预为首选的个体化综合策略,研究形成的证据可为医护人员及病人提供实践指导,未来需进一步关注长期安全性与文化适应性研究.
Objective:To systematically retrieve and summarize the best evidence of health management regarding perimenopausal vasomotor symptoms,in order to establish a theoretical basis for the clinical practice.Methods:Adhering strictly to the"6S"evidence model and employing a top-down search strategy,related literature was retrieved from major domestic and international databases,guideline websites,and publications from professional academic institutions.Literature types included expert consensus statements,clinical guidelines,systematic reviews,randomized controlled trials(RCTs),best evidence summaries,and meta-analyses.The research period was from the inception of each database to April 2025.Two researchers independently conducted literature screening,quality assessment,and data extraction.The evidence meeting the inclusion criteria was then integrated and summarized.Results:A total of 14 documents were included,comprising 1 clinical decision analysis,1 systematic review,4 clinical practice guidelines,4 expert consensus statements,and 4 RCTs.Twenty-three best evidence statements were summarized across six domains:symptom assessment and monitoring,lifestyle interventions,mind-body techniques,nutritional management,exercise management,and appropriate Traditional Chinese Medicine(TCM)techniques.Conclusion:The management of perimenopausal vasomotor symptoms should adopt a patient-centered,individualized,and comprehensive strategy that prioritizes non-pharmacological interventions.The evidence summarized in this study offers practical guidance for healthcare professionals and patients,though future research should further address long-term safety and cultural adaptability.
汪新花;李岚清;颜文静;许莉莉;梁翠翠;张静
530001,广西中医药大学护理学院广西壮族自治区人民医院530001,广西中医药大学护理学院广西壮族自治区人民医院广西壮族自治区人民医院广西壮族自治区人民医院
围绝经期血管舒缩症状健康管理证据总结循证护理学
perimenopausevasomotor symptomshealth managementevidence summaryevidence-based nursing
《全科护理》 2026 (15)
2808-2814,7
广西自然科学基金项目,编号:2024GXNSFAA010327广西医疗卫生适宜技术开发与推广应用基金资助项目,编号:S2020071广西壮族自治区卫生健康委员会自筹经费科研课题,编号:Z20210572广西中医药卫生适宜技术开发与推广应用项目,编号:GZSY22-57广西壮族自治区卫生健康委员会项目,编号:Z-A20250096广西中医药管理局项目,编号:GXZYA20240231.
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