Objective To assess the use of evidence-based research(EBR)approach in randomized controlled trials(RCTs)of acupuncture-related therapies for primary dysmenorrhea(PD).Methods PubMed,EMBASE,Cochrane Library,China Natio...Objective To assess the use of evidence-based research(EBR)approach in randomized controlled trials(RCTs)of acupuncture-related therapies for primary dysmenorrhea(PD).Methods PubMed,EMBASE,Cochrane Library,China National Knowledge Infrastructure,Wanfang Database,Chinese Biomedical Database,and China Science and Technology Journal Database were searched from January 2013 to December 2022 for RCTs of acupuncture on PD.The full text and references of each RCT were read to assess whether systematic reviews(SRs)or other types of studies with similar research questions and end-users’perspectives were cited to justify and design the trial.In addition,the discussion section were analyzed to evaluate whether trials placed the new result in the existing SRs to draw a conclusion.Multivariable logistic regression was used to find variables that associated with 3 aspects of EBR approach:(1)citing clinical studies for justification,(2)citing relevant studies that obtain the perspectives of end users,and(3)citing clinical studies for results discussion.Results Of 473 RCTs included,45.67%(216)of the trials cited relevant similar studies,21.56%(102)referenced to the studies that collected end-users’perspectives,and 10.99%(52)placed result in the context of the previous research.Few RCTs appropriately applied EBR approach.Among all the included studies,3.17%(15)of the trials used SRs to inform study questions but none of them used updated SRs with acceptable quality;1.05%(5)of the trials cited SRs of end-user’s perspectives in the justification and design of the study,and only 1 trial added results in existing SR to draw a conclusion.Year of publication,language,funding,registration,ethical approval and number of sites were significantly associated with 1 of the 3 aspects of EBR approach.Conclusions Few RCTs in acupuncture-related therapies for PD used the EBR approach to minimize research redundancy.Researchers,research institutes,funding agencies,ethics committees,journals and peer reviewers in acupuncture should make efforts to use and promote the EBR approach to ensure the value of new trials.展开更多
目的:系统评价肾移植术后患者真实心理体验,为今后在临床中对其采取针对性干预措施提供依据。方法:检索PubMed、CINAHL、Web of Science、Cochrane Library、中国知网、万方数据知识服务平台、维普中文科技期刊数据库中肾移植术后患者...目的:系统评价肾移植术后患者真实心理体验,为今后在临床中对其采取针对性干预措施提供依据。方法:检索PubMed、CINAHL、Web of Science、Cochrane Library、中国知网、万方数据知识服务平台、维普中文科技期刊数据库中肾移植术后患者心理体验的质性研究。采用澳大利亚Joanna Briggs Institute(JBI)循证卫生保健中心质性研究真实性评价,采用汇集性整合方法进行整合。结果:本研究共纳入11篇文献,提炼出49个研究结果,最终归纳为6个类别并将其综合成3个整合结果,分别为术后患者对生活和生命的心理感受、术后患者由生理因素引起的感受、术后患者对社会支持系统的需求与期望。结论:医护人员应关注肾移植术后患者的心理体验,根据具体问题给予其心理护理干预,从而使肾移植术后患者拥有更好的术后康复。展开更多
目的通过Meta整合方法系统总结我国HIV/AIDS患者家庭照顾者的心理体验及应对的质性研究,为构建和完善干预措施提供依据。方法计算机检索PubMed、Embase、Web of Science、中国知网、万方数据库、维普网、中国生物医学文献数据库中关于HI...目的通过Meta整合方法系统总结我国HIV/AIDS患者家庭照顾者的心理体验及应对的质性研究,为构建和完善干预措施提供依据。方法计算机检索PubMed、Embase、Web of Science、中国知网、万方数据库、维普网、中国生物医学文献数据库中关于HIV/AIDS患者家庭照顾者照护感受、经历及应对的质性研究,检索时限从建库至2024年8月。对纳入文献根据JBI循证卫生保健中心质性研究质量评价工具进行质量评价,采用汇集性整合方法进行结果整合。结果共纳入10项研究,提炼出42个研究结果,归纳形成9个类别,综合得到4个整合结果:繁重的心理和情绪负担;角色冲突及个人成长;强烈的需求;适应和应对以维持正常生活。结论应重视HIV/AIDS患者家庭照顾者的情绪体验,为HIV/AIDS患者家庭照顾者创造支持性的环境,满足照顾者的需求,促进正性情绪和积极应对策略,提高照顾者的生活质量。展开更多
目的整合肠造口患者术后病耻感体验,为制订肠造口患者病耻感干预方案提供参考依据。方法检索PubMed、Web of Science、Embase、中国知网、万方、维普等中英文数据库中肠造口患者病耻感体验的质性研究,检索时限为建库至2025年6月。采用...目的整合肠造口患者术后病耻感体验,为制订肠造口患者病耻感干预方案提供参考依据。方法检索PubMed、Web of Science、Embase、中国知网、万方、维普等中英文数据库中肠造口患者病耻感体验的质性研究,检索时限为建库至2025年6月。采用汇集性Meta整合方法对结果整合分析。结果共纳入12篇文献,提炼出28个研究结果,归纳为8个类别,合并为3个整合结果:肠造口患者病耻感来源于多方面、肠造口患者面临病耻感带来的多重困境与挑战、肠造口患者应对病耻感的方式多样化。结论病耻感对肠造口患者的身心造成负面影响;护理人员应关注该问题,及时提供干预和支持,以减轻患者的病耻感。展开更多
目的系统整合晚期癌症患者家属参与安宁疗护的决策体验。方法计算机检索PubMed、Web of Science、CINAHL、Cochrane Library、中国知网、万方、维普等数据库中晚期癌症患者家属参与安宁疗护决策体验的相关质性研究,检索时限为建库至2024...目的系统整合晚期癌症患者家属参与安宁疗护的决策体验。方法计算机检索PubMed、Web of Science、CINAHL、Cochrane Library、中国知网、万方、维普等数据库中晚期癌症患者家属参与安宁疗护决策体验的相关质性研究,检索时限为建库至2024年6月。采用汇集性整合法进行Meta整合。结果共纳入12篇文献,提炼出32个研究结果,归纳为10个类别,汇集为3个整合结果:决策过程艰难,伴有多重心理体验;作出决策的动机;影响决策的因素。结论晚期癌症患者家属在安宁疗护决策过程中存在多重复杂的体验,医护人员应为家属提供多元化决策支持,帮助其进行最佳决策。展开更多
目的系统整合慢性疼痛患者参与虚拟现实(virtual reality,VR)应用的体验,为临床开展VR技术实践提供借鉴。方法检索PubMed、Web of Science、Scopus、Embase、Cochrane Library、PsycINFO、CINAHL、SinoMed、中国知网、万方、维普等数据...目的系统整合慢性疼痛患者参与虚拟现实(virtual reality,VR)应用的体验,为临床开展VR技术实践提供借鉴。方法检索PubMed、Web of Science、Scopus、Embase、Cochrane Library、PsycINFO、CINAHL、SinoMed、中国知网、万方、维普等数据库中关于慢性疼痛患者参与VR应用的质性研究,检索时限为建库至2025年5月。运用汇集性整合归纳结果。结果共纳入13篇文献,提炼出26个研究结果,归纳为8个类别,汇集为3个整合结果:感知益处、感知障碍、期望和需求。结论VR技术在多数慢性疼痛患者中展现出积极效果,但其临床应用仍面临多重挑战;未来应完善慢性疼痛VR治疗支持系统,以提升患者参与度并推动VR技术的推广与优化。展开更多
基金Supported by Innovation Fund of China Academy of Chinese Medical Sciences(No.CI2021A03503)National Natural Science Foundation of China(No.81973968)China Center for Evidence Based Traditional Chinese Medicine(No.2020YJSZX-1)。
文摘Objective To assess the use of evidence-based research(EBR)approach in randomized controlled trials(RCTs)of acupuncture-related therapies for primary dysmenorrhea(PD).Methods PubMed,EMBASE,Cochrane Library,China National Knowledge Infrastructure,Wanfang Database,Chinese Biomedical Database,and China Science and Technology Journal Database were searched from January 2013 to December 2022 for RCTs of acupuncture on PD.The full text and references of each RCT were read to assess whether systematic reviews(SRs)or other types of studies with similar research questions and end-users’perspectives were cited to justify and design the trial.In addition,the discussion section were analyzed to evaluate whether trials placed the new result in the existing SRs to draw a conclusion.Multivariable logistic regression was used to find variables that associated with 3 aspects of EBR approach:(1)citing clinical studies for justification,(2)citing relevant studies that obtain the perspectives of end users,and(3)citing clinical studies for results discussion.Results Of 473 RCTs included,45.67%(216)of the trials cited relevant similar studies,21.56%(102)referenced to the studies that collected end-users’perspectives,and 10.99%(52)placed result in the context of the previous research.Few RCTs appropriately applied EBR approach.Among all the included studies,3.17%(15)of the trials used SRs to inform study questions but none of them used updated SRs with acceptable quality;1.05%(5)of the trials cited SRs of end-user’s perspectives in the justification and design of the study,and only 1 trial added results in existing SR to draw a conclusion.Year of publication,language,funding,registration,ethical approval and number of sites were significantly associated with 1 of the 3 aspects of EBR approach.Conclusions Few RCTs in acupuncture-related therapies for PD used the EBR approach to minimize research redundancy.Researchers,research institutes,funding agencies,ethics committees,journals and peer reviewers in acupuncture should make efforts to use and promote the EBR approach to ensure the value of new trials.
文摘目的通过Meta整合方法系统总结我国HIV/AIDS患者家庭照顾者的心理体验及应对的质性研究,为构建和完善干预措施提供依据。方法计算机检索PubMed、Embase、Web of Science、中国知网、万方数据库、维普网、中国生物医学文献数据库中关于HIV/AIDS患者家庭照顾者照护感受、经历及应对的质性研究,检索时限从建库至2024年8月。对纳入文献根据JBI循证卫生保健中心质性研究质量评价工具进行质量评价,采用汇集性整合方法进行结果整合。结果共纳入10项研究,提炼出42个研究结果,归纳形成9个类别,综合得到4个整合结果:繁重的心理和情绪负担;角色冲突及个人成长;强烈的需求;适应和应对以维持正常生活。结论应重视HIV/AIDS患者家庭照顾者的情绪体验,为HIV/AIDS患者家庭照顾者创造支持性的环境,满足照顾者的需求,促进正性情绪和积极应对策略,提高照顾者的生活质量。
文摘目的整合肠造口患者术后病耻感体验,为制订肠造口患者病耻感干预方案提供参考依据。方法检索PubMed、Web of Science、Embase、中国知网、万方、维普等中英文数据库中肠造口患者病耻感体验的质性研究,检索时限为建库至2025年6月。采用汇集性Meta整合方法对结果整合分析。结果共纳入12篇文献,提炼出28个研究结果,归纳为8个类别,合并为3个整合结果:肠造口患者病耻感来源于多方面、肠造口患者面临病耻感带来的多重困境与挑战、肠造口患者应对病耻感的方式多样化。结论病耻感对肠造口患者的身心造成负面影响;护理人员应关注该问题,及时提供干预和支持,以减轻患者的病耻感。
文摘目的系统整合晚期癌症患者家属参与安宁疗护的决策体验。方法计算机检索PubMed、Web of Science、CINAHL、Cochrane Library、中国知网、万方、维普等数据库中晚期癌症患者家属参与安宁疗护决策体验的相关质性研究,检索时限为建库至2024年6月。采用汇集性整合法进行Meta整合。结果共纳入12篇文献,提炼出32个研究结果,归纳为10个类别,汇集为3个整合结果:决策过程艰难,伴有多重心理体验;作出决策的动机;影响决策的因素。结论晚期癌症患者家属在安宁疗护决策过程中存在多重复杂的体验,医护人员应为家属提供多元化决策支持,帮助其进行最佳决策。
文摘目的系统整合慢性疼痛患者参与虚拟现实(virtual reality,VR)应用的体验,为临床开展VR技术实践提供借鉴。方法检索PubMed、Web of Science、Scopus、Embase、Cochrane Library、PsycINFO、CINAHL、SinoMed、中国知网、万方、维普等数据库中关于慢性疼痛患者参与VR应用的质性研究,检索时限为建库至2025年5月。运用汇集性整合归纳结果。结果共纳入13篇文献,提炼出26个研究结果,归纳为8个类别,汇集为3个整合结果:感知益处、感知障碍、期望和需求。结论VR技术在多数慢性疼痛患者中展现出积极效果,但其临床应用仍面临多重挑战;未来应完善慢性疼痛VR治疗支持系统,以提升患者参与度并推动VR技术的推广与优化。
