癌症相关性抑郁非药物管理的最佳证据总结

打开文本图片集

Summary of the best evidence for non-pharmacological management of cancer-related depression

YAO Jiaying，LI Ying，ZHAO Mengqin，SHEN Xinyi，WANG Junhui，XU Yan，MEI Xiaofeng，PU Limin，CHEN XiaominSchool of Nursing，Zhejiang Chinese Medicine University，Zhejiang 310053 ChinaCorresponding Author  CHEN Xiaomin，E-mail：chenxm7301@163.com

Abstract  Objective：To search，evaluate and integrate the relevant evidence of non-drug management of cancer-related depression，and to provide reference for clinical practice.Methods：The PIPOST tool was used to identify evidence-based questions.Relevant evidence on the non-drug management of cancer-related depression，including clinical decisions，guidelines，evidence summaries，systematic reviews，expert consensus，and original studies，was retrieved from national and international databases，guidelines websites，computer decision systems，and professional society websites.The search deadline was from the establishment of each database until June 15，2023.Results：A total of 15 articles were included，including 2 clinical decisions，8 guidelines，4 systematic reviews，and 1 expert consensus.A total of 25 best evidences were summarized in 7 aspects：screening and assessment，psychological intervention，exercise management，traditional Chinese medicine nursing，complementary therapy，health education，supervision and referral.Conclusion：This study summarizes the best evidence of non-drug management of cancer-related depression，provides evidence-based evidence for clinical guidance of medical staff，and suggestes that medical staff should apply evidence according to clinical scenarios to improve nursing measures for the management of cancer-related depression.

Keywords  cancer;depression;management;evidence-based nursing;summary of evidence

摘要  目的：检索、评价和整合癌症相关性抑郁非药物管理的相关证据，为临床实践提供参考。（剩余12718字）