1.Summary of best evidence for oral fluid intake management in adult patients with urinary calculi
Yunyun GU ; Rong WANG ; Yingxiang ZHANG ; Yinghua CAI ; Yanrong SHAO ; Yinzhu CAI
Chinese Journal of Modern Nursing 2024;30(34):4670-4678
Objective:To search, evaluate and summarize the best evidence for oral fluid intake management in adult patients with urinary calculi, providing a decision-making basis for clinical nursing.Methods:Using keywords such as urolithiasis, urinary calculi, fluid intake, water intake, fluid, etc., a systematic search was conducted in relevant domestic and international databases, guideline websites, and professional association sites for evidence related to oral fluid intake management in adult urolithiasis patients. This included clinical decisions, best practices, guidelines, expert consensus, evidence summaries, systematic reviews, and recommended practices, covering the period from January 1, 2018 to June 1, 2023. Two researchers trained in evidence-based nursing independently evaluated the quality of the literature and extracted and integrated the evidence.Results:A total of 23 articles were included, comprising two clinical decisions, one best practice, four guidelines, 13 systematic reviews, and three recommended practices. Ultimately, 18 pieces of best evidence were summarized from six aspects: the importance of fluid intake, intake volume, timing of intake, the relationship between different types of fluids and the risk of urinary calculi, intake recommendations, monitoring methods, and precautions.Conclusions:This study summarizes the best evidence for oral fluid intake management in adult patients with urinary calculi, which can provide reference for clinical nursing. When applying this evidence, it is essential to fully consider clinical circumstances and patient characteristics to reduce the recurrence rate of urinary calculi.
2.Evidence map analysis of application of auricular point sticking technique in patients with urinary calculi
Yunyun GU ; Yinzhu CAI ; Shuping ZHANG ; Yanrong SHAO
Journal of Clinical Medicine in Practice 2024;28(18):123-128
Objective To systematically sort out the interventional studies on the application of auricular point sticking technique in patients with urinary calculi by means of evidence map analysis in order to understand the distribution of evidence in this field and the problems of the studies.Meth-ods Chinese and English databases such as CNKI,Wanfang,VIP,China Biology Medicine(CBM)Database,PubMed,Cochrane Library,CINAHL complete,Web of Science,Elsevier Science Direct,Embase,etc.were systematically searched to screen for studies related to the application of auricular point sticking technique in patients with urinary calculi.The time frame of the review was from the database construction to June 2024,and the trend of publication,type of literature,sample size in the literature,interventions,distribution of acupuncture points,outcome indexes,and methodological quality of the literature were analyzed by using graphs and text.Results A total of 79 papers were included,including 65 randomized controlled studies,5 quasi-experimental study,and 9 studies with unclear grouping basis.The overall trend of the number of publications was increasing,and the aver-age sample size was 103.37 patients.The most frequently selected auricular acupuncture points were kidney,ureter,sympathetic point,Shenmen,and bladder,etc.,and the endpoint indicators of greater concern were clinical efficacy,pain relief,and stone expulsion,etc.The methodological quality of the literature was not high.Conclusion Auricular point sticking technique has certain ad-vantages in the treatment of urinary calculi,and the selection of acupoints and outcome indicators are diverse.However,most studies have shortcomings in scientific research design,personalized intervention measures,measurement and analysis of outcome indicators,etc.Therefore,more scientific and rigorous large-scale,multi-center randomized controlled studies are needed in the future to provide high-quality evidence-based basis for the application of auricular point sticking technique in patients with urinary calculi.
3.Evidence map analysis of application of auricular point sticking technique in patients with urinary calculi
Yunyun GU ; Yinzhu CAI ; Shuping ZHANG ; Yanrong SHAO
Journal of Clinical Medicine in Practice 2024;28(18):123-128
Objective To systematically sort out the interventional studies on the application of auricular point sticking technique in patients with urinary calculi by means of evidence map analysis in order to understand the distribution of evidence in this field and the problems of the studies.Meth-ods Chinese and English databases such as CNKI,Wanfang,VIP,China Biology Medicine(CBM)Database,PubMed,Cochrane Library,CINAHL complete,Web of Science,Elsevier Science Direct,Embase,etc.were systematically searched to screen for studies related to the application of auricular point sticking technique in patients with urinary calculi.The time frame of the review was from the database construction to June 2024,and the trend of publication,type of literature,sample size in the literature,interventions,distribution of acupuncture points,outcome indexes,and methodological quality of the literature were analyzed by using graphs and text.Results A total of 79 papers were included,including 65 randomized controlled studies,5 quasi-experimental study,and 9 studies with unclear grouping basis.The overall trend of the number of publications was increasing,and the aver-age sample size was 103.37 patients.The most frequently selected auricular acupuncture points were kidney,ureter,sympathetic point,Shenmen,and bladder,etc.,and the endpoint indicators of greater concern were clinical efficacy,pain relief,and stone expulsion,etc.The methodological quality of the literature was not high.Conclusion Auricular point sticking technique has certain ad-vantages in the treatment of urinary calculi,and the selection of acupoints and outcome indicators are diverse.However,most studies have shortcomings in scientific research design,personalized intervention measures,measurement and analysis of outcome indicators,etc.Therefore,more scientific and rigorous large-scale,multi-center randomized controlled studies are needed in the future to provide high-quality evidence-based basis for the application of auricular point sticking technique in patients with urinary calculi.