证据综合研究中华护理杂志2023年1月第58卷第1期大肠癌放化疗患者消化道症状群护理的证据总结杨俊琳杨健赵丽丽田玉梅宁滟花汤援媛【摘要】目的检索、评价并总结国内外关于大肠癌放化疗惠者消化道症状群护理的证据，为临床实践提供循证依据。方法根据“6S”摸型，系统检索国内外相关数据库和网站中与大肠癌放化疗患者消化道症状群护里有关的文献，包括临床决策、指南、系统评价、证据总结及专家共识，检索时限为2017年1月一2022年4月。2名研究者对纳入文献进行独立评价后整合证据。结果共纳入16篇文献，其中临床决策5篇、指南6篇、系统评价3篇、证据总结2篇。从组织管理、便秘护理、腹泻护理、恶心与呕吐护理4个方面汇总了28条证据。结论该研究总结了大肠癌放化疗惠者消化道症状群护理的最佳证据，可为临床实践提供参考，护理人页应结合惠者症状和实际需求提供个体化护理。【关键词】消化系统肿擒：放化疗：体征和症状，消化系统：肿擒护理：循证护理学Evidence summary for the nursing of gastrointestinal symptom clusters in colorectal cancer patients withchemoradiotherapy/YANG Junlin,YANG Jian,ZHAO Lili,TIAN Yumei,NING Yanhua,TANG Yuanyuan[Abstract]Objective To retrieve,evaluate and summarize the best evidence related to the care ofgastrointestinal symptom clusters,such as nausea,vomiting,diarrhea and constipation,in colorectal cancer patientsundergoing chemoradiotherapy at home and abroad,and to provide an evidence-based basis for clinical nursing carepractice.Methods According to the "6S"model system,the literature related to gastrointestinal symptom clustersnursing of colorectal cancer patients with chemoradiotherapy was retrieved from relevant databases and websites athome and abroad,including clinical decisions,guidelines,systematic reviews,evidence summaries and expertconsensuses.The retrieval period was from January 2017 to April 2022.There were 2 researchers whoindependently evaluated the included literature and integrated the evidence.Results A total of 16 articles wereincluded,including 5 clinical decisions,6 guidelines,3 systematic reviews and 2 evidence summaries.28 pieces ofevidence were summarized from 4 aspects,namely organization management,constipation nursing,diarrhea nursing,malignant and vomiting nursing.Conclusion This study summarizes the best evidence of gastrointestinal symptomclusters nursing in colorectal cancer patients undergoing chemoradiotherapy,which can provide references for clinicalpractice.Nursing staff should combine the patient's specific symptoms with actual needs for individualized nursing.[Key words]Digestive System Neoplasms;Chemoradiotherapy:Signs and Symptoms,Digestive System;Oncologic Nursing:Evidence-Based Nursing大肠癌包括结肠癌和直肠癌，是常见的消化道现恶心、呕吐、腹泻等消化道症状，且上述症状常以恶性肿瘤。2020年全球大肠癌新发193.2万例，病死症状群的形式同时出现，并相互影响5]，不仅加重93.5万例，居恶性肿瘤发病率第3位、病死率第2位山，患者消化道症状及心理负担，导致营养不良、抑郁且呈年轻化趋势)。手术治疗联合放化疗是大肠癌等，还可能影响治疗，甚至缩短患者的生存期。近患者主要的治疗方式，可以提高治疗效果、降低病死年来，国内外已开始重视癌症患者的症状管理，已有率和复发率。然而，放化疗易导致大肠癌患者出针对腹泻、呕吐等单独症状管理的指南、系统评价D0I:10.37615issm.0254-17692023.01.014等，但多涉及医疗干预，关于大肠癌放化疗患者消化基金项目：2021年宁夏回族自治区重点研发计划项目(2021BEG道症状群护理的证据较零散[9。因此，本研究系统03053)检索国内外相关文献并进行证据整合，旨在为临床作者单位：750000银川市宁夏医科大学护理学院（杨俊琳，杨健，护理人员针对大肠癌放化疗患者消化道症状群制订宁艳花)：宁夏回族自治区人民医院护埋部（赵丽丽），肿瘤科（汤媛个体化的护理措施提供参考依据。媛)：湖南医药学院护理学院（田玉梅）通信作者：赵雨丽，E-mail:42566552@g9com杨俊琳：女，本科（硕士在读），护士，E-mail:y1359134648@163.com1资料与方法2022-05-15收稿11文献检索策略98 Chin J Nurs,January 2023,Vol.58,No.1(C)1994-2023 China Academic Journal Electronic Publishing House.All rights reserved.http://www.cnki.net
