脑卒中后神经源性膀胱管理的最佳证据总结

目的 总结脑卒中后神经源性膀胱管理的最佳证据,以提高管理效果。方法 计算机检索2014年1月—2019年9月BMJ Best Practice、Up To Date、Cochrane Library、JBI、国际指南协作网、英国卫生保健机构、PubMed、Web of Science、中国知网、万方、中国生物医学文献数据库（CBM）、维普有关成人脑卒中后膀胱管理的证据,包括指南、最佳实践、证据总结、专家共识及系统评价。由4名研究者对纳入的指南进行文献质量评价,由2名研究者对其余纳入文献进行质量评价。结果 本研究共纳入证据10篇,包括指南5篇,系统评价4篇,专家共识1篇,最终从评估、治疗措施、并发症防治及健康教育4个维度总结出20条最佳证据。结论 脑卒中后神经源性膀胱功能障碍的患者需采取针对性的方案进行膀胱管理,临床医务工作者应对患者进行结构化评估,以科学的护理方法帮助患者进行神经源性膀胱的管理,预防并发症的发生,提升患者的生活质量。

Best Evidence Summary for Post-stroke Neurogenic Bladder Management

Objective To summarize and evaluate best evidence for the management of post-stroke neurogenic bladder. Methods We searched BMJ Best Clinical Practice, Up ToDate, Cochrane Library, JBI, GIN, NICE, PubMed, Web of Science, China national knowledge infrastructure (CNKI), Wanfang Database, China Biomedical Literature Database (CBM) ,VIP database(VIP) from January of 2014 to September of 2019 for literature on evidence-based post-stroke neurogenic bladder, including guideline, best practice, evidence summary, consensus and systematic review. Four researchers independently evaluated the quality of the included guidelines and another two conducted quality assessment of the left literature. Results Ten articles were enrolled including 5 guidelines, 4 systematic reviews, and 1 expert consensus. Finally, 20 pieces of best evidence from 4 dimensions of assessment, treatment measures, complication prevention and treatment and health education were summarized. Conclusion Targeted management is needed for patients with post-stroke neurogenic bladder. Structured assessment and scientific nursing will help patients manage neurogenic bladder, thus to prevent complications and improve the quality of life.