Summary of best evidence for diarrhea assessment and management in hematopoietic stem cell transplantation patients
10.3760/cma.j.cn115682-20240105-00116
- VernacularTitle:造血干细胞移植患者腹泻评估与管理的最佳证据总结
- Author:
Xiaopei MAO
1
;
Min XU
;
Xiaolan ZHANG
;
Min PENG
;
Fang CHENG
;
Wangfang SHEN
;
Menghua YE
Author Information
1. 浙江中医药大学附属第一医院(浙江省中医院)血液科,杭州 310003
- Keywords:
Hematopoietic stem cell transplantation;
Diarrhea;
Nursing assessment;
Evidence-based nursing
- From:
Chinese Journal of Modern Nursing
2024;30(30):4163-4170
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrieve, evaluate, and summarize evidence on the assessment and management of diarrhea in hematopoietic stem cell transplantation (HSCT) patients both domestically and internationally, providing evidence-based support for clinical practice.Methods:According to the "6S" model, guidelines, clinical decisions, recommended practices, evidence summaries, systematic reviews, and expert consensus related to the assessment and management of diarrhea in HSCT patients were systematically retrieved from relevant databases and websites both domestically and internationally. The search period was from January 1, 2013 to November 30, 2023. Seven researchers conducted literature screening, quality evaluation, evidence extraction, and summarization.Results:A total of 15 articles were included, including four guidelines, three clinical decisions, two recommended practices, one evidence summary, two systematic reviews, and three expert consensus. Thirty-one pieces of evidence were summarized from seven aspects of multidisciplinary management, risk factor management, assessment and monitoring, medication intervention, diet and nutrition management, health education, and daily management.Conclusions:The best evidence for HSCT patient assessment and management summarized can provide reference for clinical practice, and nursing staff should carefully apply evidence based on the actual situation of patients.