Yang Chang, Liu Yuanfei, Xiao Bang, Yang Jing, Zeng Qin, Tan Ruyi, Ma Hongli
Department of Anesthesiology, Chongqing University Cancer Hospital, Chongqing, China.
Front Neurol. 2025 Jun 13;16:1580216. doi: 10.3389/fneur.2025.1580216. eCollection 2025.
This study aimed to extract, evaluate, and summarize the evidence related to the management of sleep disorders after malignant tumor surgery, providing a reference for evidence-based clinical practice.
A systematic and hierarchical search strategy was used to identify relevant evidence from authoritative databases and resources. Following the "6S" evidence pyramid model, we conducted a comprehensive review of the following databases: BMJ Best Practice, CINAHL, Cochrane Library, Clinical Trials, Embase, PubMed, UpToDate, Web of Science, Guidelines International Network, National Guideline Clearinghouse, and the National Guidelines Database. Additionally, key institutional websites and specialized databases were consulted, such as the' National Institute for Health and Care Excellence in the United Kingdom, 'the Joanna Briggs Institute Centre for Evidence-Based Health Care in Australia, 'the Registered Nurses' Association of Ontario in Canada, the Scottish Intercollegiate Guidelines Network, China National Knowledge Infrastructure, China Biomedical Literature Database, Wan Fang Data, VIP Database, and Medlive. The search included clinical decisions, evidence summaries, guidelines, recommended practices, expert consensuses, systematic reviews, and randomized controlled trials. The retrieval period spanned from the inception of each database to December 31, 2024. Two researchers trained in evidence-based nursing independently evaluated the quality of the literature, extracted and synthesized the evidence, and incorporated expert recommendations as appropriate. This rigorous approach ensured comprehensive coverage of international and regional evidence-based resources, providing a solid foundation for our research.
Finally, we screened 12 articles with high-quality results (including 10 guidelines and 2 expert consensuses), providing 37 pieces of evidence covering four aspects: risk factors, evaluation methods, intervention measures, and effect evaluation after intervention.
The summarized evidence offers a reference for clinicians in managing sleep disorders in patients after malignant tumor surgery. However, the selection and application of evidence should be combined with specific circumstances to improve the postoperative rehabilitation of patients with malignant tumors.
本研究旨在提取、评估和总结与恶性肿瘤手术后睡眠障碍管理相关的证据，为循证临床实践提供参考。
采用系统分层检索策略，从权威数据库和资源中识别相关证据。遵循“6S”证据金字塔模型，我们对以下数据库进行了全面检索：BMJ最佳实践、护理学与健康领域数据库、考克兰图书馆、临床试验数据库、荷兰医学文摘数据库、医学期刊数据库、UpToDate、科学引文索引、国际指南网络、国家指南交换中心和国家指南数据库。此外，还查阅了关键机构网站和专业数据库，如英国国家卫生与临床优化研究所、澳大利亚乔安娜·布里格斯循证卫生保健中心、加拿大安大略省注册护士协会、苏格兰校际指南网络、中国知网、中国生物医学文献数据库、万方数据、维普数据库和医脉通。检索内容包括临床决策、证据总结、指南、推荐实践、专家共识、系统评价和随机对照试验。检索期限从各数据库建库至2024年12月31日。两名接受过循证护理培训的研究人员独立评估文献质量，提取并综合证据，并酌情纳入专家建议。这种严谨的方法确保了对国际和地区循证资源的全面覆盖，为我们的研究奠定了坚实基础。
最终，我们筛选出12篇高质量文献（包括10篇指南和2篇专家共识），提供了37条证据，涵盖危险因素、评估方法干预措施以及干预后效果评估四个方面。
总结的证据为临床医生管理恶性肿瘤手术后患者的睡眠障碍提供了参考。然而，证据的选择和应用应结合具体情况，以促进恶性肿瘤患者的术后康复。
