循证护理Evidence-based Nursing乳腺癌患者性健康评估与管理的证据总结姚丽贾方容任婷婷张茜雅胡利李红周毅张宇[撕要]目的：检索、评价和归纳乳腺癌患者性健康评估与管理的证据，为临床工作提供参考。方法：系统检索数据库、网站中关于乳腺癌患者性健康评估与管理的所有指南、证据总结、推荐实践、专家意见及系统评价检索时限为建库至2022年2月。由2名研究者对相关文献进行文献独立筛选，并采用澳大利亚J1循证卫生保健中心对应的评价标准(2016版)和AGREEⅡ对文献质量进行评价，并结合专业判断提取证据并归纳总结。结果共纳入21篇文献，包括指南5篇、专家意见2篇、系统评价Mta分析14篇，最后从5个方面总结了20条证据。结论：乳腺癌忠者性健康评估与管理的证据可为临床医护人员提供循证证据，以科学的方法评估并管理乳腺癌患者的性健康，有助于提高忠者的生活质量。[关健词】乳腺癌患者，性健康，管理，循证护理，证据总结[中图分类号]R47:R197D0川10.3969i.issn.1672-1756.2023.02.014Practice evidence on assessment and management of sexual health in breast cancer patients /YAO Li,JIA Fangrong RENTingting ZHANG Xya,HULi,LI Hong,ZHOU Yi,ZHANG Yi Department of Respiratory and Critical Care Medicine,The Affiliated Hospital of Guizhou Medical University,Guiyang,550004,China[Abetrac Objective:To search,evaluate and summarize the evidence of sexual health assessment and managementof breast cancer patients.Methods:All guidelines,evidence summaries,recommended practices,expert opinions andsystematic reviews on sexual health assessment and management of breast cancer patients in the databases and website weresystematically searched,and the retrieval time was from the establishment ofthe database to February 2022.Two researchersindependently screened the articles,used the Australia JBI evidence-based health care Center corresponding evaluationstandards (2016 edition)and AGREE II to evaluate the quality of the articles,and combined with professional judgment toextract and summarize the evidence.Results:A total of 21 articles were included,including 5 guidelines,2 expert opinionsand 14 systematic reviews/Meta-analyses.Finally,20 pieces of evidence were summarized from 5 aspects.Conclusion:The evidence for the evaluation and management of breast cancer patierts can provide evidence-based practice for clinicalprofessionals to evaluate and manage the sexual health of breast cancer patients in a scientific way,which is helpful toimprove the quality of life ofpatientsKeyword]breast cancer patients;sexual health;management;evidence-based nursing;evidence summary乳腺癌是威胁全球范围内女性式取代肺癌，位居全球首位日。近年而众多研究表明，手术及治疗带来健康的主要杀手·，据世界卫生组织来，随着诊疗技术的提高与临床研的性功能障碍严重影响了患者的生国际癌症研究机构报道，2020年新究的深入，乳腺癌经系统治疗后患理、心理及社会生活。例如，患增乳腺癌人数达226万，发病率正者5年生存率可高达73%~91%。者与其配偶的亲密关系受影响。此善金项目，贵州医科大学护理学科专项课题项日(Y21045),贵医大附属医院第三批证据应用项目(gyfyhlxz-2022-3)作者单位：贵州医科大学附属医院呼吸与危重症医学科，550004贵阳市（姚丽），肝胆外科（任婷婷），乳腺外科（胡利，李红，周毅，张字），贵州医科大学护理学院（贾方容，张茜雅）靠一作者，姚丽，硕士，主管护师minerals,and nutritional supplements []P,et al.Photobiomodulation in pediatric%2Ffk%2F20210209y%2F1612868658339Support Care Cancer,2019,27(10):3997-4010.dentistry:a current state-of-the-art [J].089682.pdf.[21]YAROM N,HOVAN A,BOSSI P,et al.Photobiomodul Photomed Laser Surg,[24]胡雁，朱政，傅亮，等.临床实践指南的发Systematic review of natural and2019,3702)798-813.展与应用切.中国护理管理，2016,16(9)：miscellaneous agents,for the management of2)中华护理学会.中华护理学会团体标1156-1160.oral mucositis incancer patients and clinical准：放化疗相关口腔黏膜炎预防及护[2胡雁，周英凤，邢唯杰，等推动证据临床practice guidelines-part 2:honey,herbalT/CNAS 15-2020 [EB/OL].(2021-转化（一）促进健康照护
