慢性阻塞性肺疾病病人自我管理的最佳证据总结

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Abstract Objective：To summarize the best evidence on self-management of patients with chronic obstructive pulmonary disease （COPD） in China and abroad，and to provide an evidence-based basis for better-guiding self-management of COPD patients.Methods： Guidelines，expert consensus，systematic reviews，evidence summaries，and randomized controlled trials （RCTs） related to COPD patients′ self-management were retrieved from National Institute for Health and Clinical Excellence Guidelines Network （NICE），UpToDate，BMJ Best Practice，Joanna Briggs Institute （JBI），International Guidelines Network，Yimaitong Website，China National Knowledge Infrastructure （CNKI），China Biology Medicine disc （CBM），VIP Database，WanFang Database，PubMed，the Cochrane Library，Web of Science，and professional association websites. The search time limit was from establishing the database to March 31，2022. Two researchers evaluated the quality of the included literature and summarized the evidence that met the quality standards based on the judgment of COPD experts.Results：A total of 19 documents were included in this study，including 4 guidelines，2 expert consensus articles，4 systematic reviews，3 RCTs，and 6 evidence summaries. A total of 33 pieces of evidence were summarized in 8 aspects，including learning basic knowledge of the disease，daily behavioral management，drug intake management，rehabilitation skills guidance，psychological and emotional regulation，acute exacerbation management，health education，and discharge follow-up.Conclusion：The best evidence on self-management of COPD patients summarized in this study could guide for improving patients′ self-management ability，lung function，and quality of life.

Keywords chronic obstructive pulmonary disease;self-management;best evidence;evidence-based nursing

摘要 目的：总结国内外慢性阻塞性肺疾病（COPD）病人自我管理最佳证据，为更好地指导COPD病人自我管理提供循证依据。（剩余12057字）