Summary of the best evidence for non-surgical treatment and management of patients with pelvic organ prolapse
10.3760/cma.j.cn115682-20240418-02138
- VernacularTitle:盆腔器官脱垂患者非手术治疗及管理的最佳证据总结
- Author:
Linqian HE
1
;
Xixi LI
;
Hongjin WU
;
Siyang LAN
;
Hong JIANG
Author Information
1. 成都医学院护理学院，成都 610500
- Publication Type:Journal Article
- Keywords:
Evidence-based nursing;
Pelvic organ prolapse;
Non-surgical treatment
- From:
Chinese Journal of Modern Nursing
2025;31(4):453-461
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrieve and summarize the evidence regarding the non-surgical treatment and management of patients with pelvic organ prolapse (POP) .Methods:According to the "6S" evidence pyramid model, clinical guidelines, expert consensus, systematic reviews, clinical decisions, and clinical best practices related to the non-surgical treatment and management of patients with POP were systematically searched in databases and websites such as UpToDate, National Institute for Health and Clinical Excellence, Australia Joanna Briggs Institute (JBI) Evidence-Based Health Care Center Database, Guidelines International Network, National Guideline Clearinghouse, PubMed, China National Knowledge Infrastructure. The search period was from the establishment of the database to January 31, 2024. Two investigators independently conducted literature quality assessment and extracted relevant information according to the Appraisal of Guidelines for Research and EvaluationⅡ and the Australia JBI Evidence-Based Health Care Center evaluation tools. The Australia JBI quality level of evidence and grade of recommendation (2014 version) were used for evidence integration and grading.Results:A total of 15 papers were finally included, including three clinical decisions, eight guidelines, two best practices, one expert consensus, and one systematic review. A total of 39 pieces of best evidence were summarized in nine areas of examination and assessment, treatment plan, lifestyle, expectant therapy, functional exercise, physical therapy, pessary, drug therapy, and follow-up observation.Conclusions:This study summarizes the best evidence on the non-surgical treatment and management of POP patients, which is scientific and comprehensive, and provides an evidence-based basis for medical and nursing staff to develop non-surgical treatment and management protocols for POP patients and self-management of POP patients.
