[关键词]
[摘要]
目的 总结产后乳汁淤积中医护理干预的最佳证据,以服务于临床护理实践。方法 根据“6S”证据模型,检索临床决策系统、指南、专业学会网站和数据库中关于产后乳汁淤积中医护理干预的相关证据,检索时限为2014年1月至2025年5月。由2名研究人员独立进行质量评价、证据提取和汇总。结果 最终纳入21篇文献,包括7篇指南、7篇系统评价、1篇证据总结、6篇随机对照研究(randomized controlled trial,RCT)。从评估和处理、穴位按摩、经络推拿、草药外敷、耳穴疗法、中医综合疗法6个方面,共汇总21条证据。结论 系统总结了产后乳汁淤积中医护理干预的最佳证据,为构建个性化中医护理方案构建提供了循证依据。
[Key word]
[Abstract]
Objective To gather and synthesize high-quality evidence on Traditional Chinese Medicine (TCM) nursing interventions for postpartum milk stasis.Methods Following the “6S” evidence hierarchy,we searched for evidence types including guidelines,systematic reviews,evidence summaries,meta-analyses,clinical decisions,expert consensus,and RCTs from top-tier sources and other databases from January 2014 to May 2025.Two researchers independently evaluated and synthesized the evidence.Results 21 studies were included,comprising 7 guidelines,3 meta-analyses,4 systematic reviews,1 evidence summary and 6 RCTs.21 key pieces of evidence were summarized across six areas:evaluation and management of milk stasis,acupoint massage,herbal medicine application,auricular therapy.Conclusions This study compiles the best evidence for TCM nursing interventions in postpartum milk stasis,enabling clinicians to tailor interventions based on patient needs and clinical context.
[中图分类号]
R473.71
[基金项目]
广东省教育科学规划课题(2023GXJK094);广州中医药大学2023年校级教学质量与教学改革工程项目(广中医校办〔2023〕276号)