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老年化疗患者出院准备的最佳证据总结

Optimal Evidence Summary for Discharge Preparation in Elderly Chemotherapy Patients.

作者信息

Zheng Meng, Meng Chongfang, Zhang Qi, Yan Xiang, Li Na

机构信息

Dermatology Department of the First Affiliated Hospital of Kunming Medical University, Kunming, Yunan, People's Republic of China.

Department of Oncology, First Affiliated Hospital of Kunming Medical University, Kunming, Yunan, People's Republic of China.

出版信息

J Multidiscip Healthc. 2024 Oct 3;17:4587-4600. doi: 10.2147/JMDH.S485665. eCollection 2024.

Abstract

OBJECTIVE

This study aims to systematically search, screen, evaluate, and synthesize evidence related to discharge preparation for elderly chemotherapy patients, providing an evidence-based reference for implementing discharge preparation services for this demographic.

METHODS

Systematic searches were conducted on databases including BMJ Best Clinical Practice, JBI Library, UpToDate Clinical Advisor, Cochrane Library, and relevant guideline websites. The collected literature comprised thematic summaries, clinical practice guidelines, technical reports, expert consensus, and systematic reviews related to discharge preparation for elderly chemotherapy patients. Relevant evaluation tools were selected based on the type of literature to assess methodological quality, and the evidence was extracted, summarized, and organized.

RESULTS

Fifteen pieces of evidence were selected according to inclusion and exclusion criteria, including one clinical decision, two expert consensuses, six systematic reviews, two meta-analyses, and four guidelines. Twenty-nine pieces of evidence were summarized across four domains: assessment, planning, implementation, and evaluation.

CONCLUSION

The summarized evidence provides a reliable basis for implementing evidence-based discharge preparation services for elderly chemotherapy patients, laying a foundation for future clinical practice applications. Based on the evidence content and relevant literature, this paper explores the screening and evaluation tools applicable for use in clinical practice.

摘要

目的

本研究旨在系统检索、筛选、评估和综合与老年化疗患者出院准备相关的证据,为该人群实施出院准备服务提供循证参考。

方法

对包括BMJ最佳临床实践、JBI图书馆、UpToDate临床顾问、考克兰图书馆及相关指南网站在内的数据库进行系统检索。收集的文献包括与老年化疗患者出院准备相关的专题摘要、临床实践指南、技术报告、专家共识和系统评价。根据文献类型选择相关评估工具以评估方法学质量,并对证据进行提取、总结和整理。

结果

根据纳入和排除标准,共筛选出15条证据,包括1项临床决策、2项专家共识、6项系统评价、2项荟萃分析和4项指南。从评估、计划、实施和评价四个领域总结出29条证据。

结论

总结出的证据为老年化疗患者实施循证出院准备服务提供了可靠依据,为未来临床实践应用奠定了基础。基于证据内容和相关文献,本文探讨了适用于临床实践的筛选和评估工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c5c/11457782/2ba4085b1580/JMDH-17-4587-g0001.jpg

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