Background: Diabetes mellitus requires ongoing management and care coordination. The majority of patients with diabetes were managed in primary healthcare settings. Several quality improvement programs have introduced specialist involvement in primary healthcare teams. However, synthesized evidence is needed to support policy improvements regarding the impact of specialist-primary healthcare coordination on glycemic control in diabetes care. Objective: This systematic review and meta-analysis aimed to assess the effectiveness of specialist involvement in primary healthcare teams on glycemic control of patients with diabetes. Methods: A search of five electronic databases (PubMed, Embase, Web of Science Core Collection, CNKI, and Wanfang Database) was conducted to identify relevant studies published until October 21st, 2023. We assessed the methodological quality of the included studies using the suggested risk of bias criteria for EPOC (Cochrane Effective Practice and Organization of Care). We conducted the certainty assessment using the GRADE guideline. The outcome measured was the HbA1c level. Meta-analyses were performed using random-effects models. Results: A total of 12 studies (7 randomized controlled trials and 5 controlled before-after studies) were included in the meta-analysis. The involvement of specialists in primary healthcare teams was associated with a statistically significant reduction in HbA1c level compared to usual or standard care (mean difference - 0.57, 95% CI: -0.86 to -0.27, I2 = 88.17%). Conclusion: The findings revealed that the interventions might improve the care delivered and patients' health outcomes. However, due to the very low certainty of evidence on the effectiveness on glycemic control, the interventions implemented in the included studies should be employed with caution in future policy-making to achieve improved HbA1c levels. Further research with a more rigorous design is needed to provide evidence of higher certainty and quality. Registration: The systematic review and meta-analysis was registered in the PROSPERO International Prospective Register of Systematic Reviews (registration No. CRD42022384589 available at https://www.crd.york.ac.uk/prospero/#searchadvanced ).

Background: The Trans-theoretical Model (TTM) has been applied in numerous empirical studies concerning physical activity (PA) interventions for children and adolescents. Consequently, the aim of this review is to identify and synthesize the evidence regarding the effectiveness of TTM-based interventions in promoting PA behavior change among this demographic, with the goal of informing future research and policy development. Methods: A systematic review was performed followed the PRISMA guideline, protocol was registered in PROSPERO (CRD42023416216). Computer-based searches were conducted in the CNKI, Wan-Fang, VIP, Web of Science (WOS), PubMed, and EBSCO databases to identify relevant literature. Two researchers independently conducted the literature screening and quality assessment. The quality of the randomized controlled trials (RCTs) was evaluated using the Risk of Bias Assessment Tool version 5.1.0, as recommended by the Cochrane Collaboration Network. For quality assessment of quasi experiments (QEs), the Risk Of Bias In Non-randomised Studies-of Interventions (ROBINS-I) tool was employed. Results: A total of 22 articles were included in the systematic review. Stage-matched interventions and interventions designed based on a more complete structure of the TTM are more likely to promote an increase in the actual levels of PA among children and adolescents, as well as to facilitate an increase in their PA stages. Interventions that combine health information and health behavior feedback are more likely to promote an increase in actual PA levels and the advancement of PA stages; while interventions that include PA programs are more likely to facilitate improvements in health indicators. Conclusion: The effectiveness of TTM-based PA behavior change interventions for children and adolescents depends on the specific measures employed. Interventions that are stage-matched and integrate multiple behavior change techniques using the complete TTM structure are more likely to enhance PA and its associated health benefits. However, there are several normative issues that remain. These include the misuse of incremental stages as a substitute for PA, neglect of stage specificity when applying the model, a lack of framework for behavior change techniques in targeted interventions, and an absence of a dynamic feedback process.

目的 对信息框架效应理论在健康管理领域内的应用进行范围综述，为相关研究者利用信息框架效应理论进行实践研究提供参考。方法 采用Arksey和O’ Malley范围综述的方法，系统检索中国知网、万方、维普、Sinomed、PubMed、Web of Science、Cochrane Library、Embase、CINAHL等国内外数据库，检索时间为建库至2023年12月，收集信息框架效应理论应用于健康管理领域的相关研究。结果 共检索出2 855篇文献，最终共纳入16篇文献。其中英文15篇，中文1篇。基于信息框架效应的健康管理内容要素涉及提供疾病知识、治疗等健康相关信息，自我护理，决策支持3个方面；应用形式涵盖视频、文本信息、电子信息、知识讲座、随访、健康手册、手机短信7种形式；结局指标涉及自我管理行为、身体活动行为、药物和治疗依从性3个方面，健康管理均有积极效果。结论 基于信息框架效应理论的实践研究是可行有效的，能显著提高患者的健康行为和健康信念，应用前景广阔；但我国研究与国外研究尚存在较大差距，我国学者应重视对该理论的解读，并在其指导下启动在健康管理方面的实践研究。

目的 对信息框架效应理论在健康管理领域内的应用进行范围综述，为相关研究者利用信息框架效应理论进行实践研究提供参考。方法 采用Arksey和O’ Malley范围综述的方法，系统检索中国知网、万方、维普、Sinomed、PubMed、Web of Science、Cochrane Library、Embase、CINAHL等国内外数据库，检索时间为建库至2023年12月，收集信息框架效应理论应用于健康管理领域的相关研究。结果 共检索出2 855篇文献，最终共纳入16篇文献。其中英文15篇，中文1篇。基于信息框架效应的健康管理内容要素涉及提供疾病知识、治疗等健康相关信息，自我护理，决策支持3个方面；应用形式涵盖视频、文本信息、电子信息、知识讲座、随访、健康手册、手机短信7种形式；结局指标涉及自我管理行为、身体活动行为、药物和治疗依从性3个方面，健康管理均有积极效果。结论 基于信息框架效应理论的实践研究是可行有效的，能显著提高患者的健康行为和健康信念，应用前景广阔；但我国研究与国外研究尚存在较大差距，我国学者应重视对该理论的解读，并在其指导下启动在健康管理方面的实践研究。

Background: In recent years, due to various risk factors, the incidence, prevalence, and mortality rates of female lung cancer have been increasing in both China and globally. This has become a significant public health challenge worldwide. Lung cancer not only poses a severe threat to women's health but also places a heavy burden on families and society. Objective: To conduct an in-depth analysis of the trends in disease burden for female lung cancer in China and globally from 1990 to 2021 and to forecast the next 15 years (2022-2037). The aim is to provide a reliable theoretical basis and reference value for clinical research and practice in female lung cancer and offer guidance for resource allocation and policy-making in society. Methods: Based on the Global Burden of Disease (GBD) 2021 database, we analyzed the incidence, prevalence, mortality, and disability-adjusted life years (DALYs) of lung cancer in China and globally from 1990 to 2021. These metrics were stratified by gender (BOTH, MALE, FEMALE), and the average annual percentage change (AAPC) was calculated for each metric over this period. The JOINPOINT regression model was used to analyze the trends in female lung cancer in China and globally from 1990 to 2021. The ARIMA model was applied to forecast the changes in age-standardized incidence rates (ASIR) and age-standardized mortality rates (ASDR) for the next fifteen years (2022-2037) for female lung cancer in China and globally. Results: The results indicate an upward trend in incidence, prevalence, mortality, and DALYs for lung cancer in China. Globally, the prevalence of lung cancer showed an increasing trend, while the incidence, mortality, and DALYs demonstrated a declining trend. Both in China and globally, the incidence, prevalence, mortality, and DALY trends for female lung cancer were higher than those for males. From 1990 to 2021, the incidence, prevalence, mortality, and DALYs of female lung cancer in China exhibited an upward trend, with AAPC growth rates of 1.151%, 2.086%, 0.508%, and 0.210%, respectively. Similarly, globally, the incidence, prevalence, and mortality of female lung cancer also showed an upward trend, with growth rates of 0.576%, 1.123%, and 0.276%, respectively, while DALYs showed a slight decline with an AAPC of -0.029%. Conclusion: Although the overall disease burden of female lung cancer is not as high as that of males, the growth rate for female lung cancer is significantly higher than that for males both in China and globally. The overall disease burden and the growth rates of incidence and prevalence of female lung cancer in China are higher than the global average.

网络化心理干预近年来逐渐应用于改善丧亲人群的心理健康状况,系统考察其干预效果及其调节因素有助于指导临床实践。这项研究通过文献检索与筛选,选取了47个丧亲人群网络化心理干预研究,其中19项随机对照试验满足了元分析标准(N=1222),元分析共包括68个效应值。结果发现,干预对总体心理健康的效应达到显著的中等水平(g=0.54; 95%CI=[0.39, 0.70]);具体而言,干预对病理性哀伤(g=0.56; 95%CI=[0.39, 0.74])、抑郁(g=0.51; 95%CI=[0.36, 0.67])和创伤后应激(g=0.63; 95%CI=[0.45, 0.81])症状的改善都达到显著的中等效果。在改善总体心理健康水平方面,未使用意义建构、干预次数大于或等于10次和给予治疗反馈的网络化心理干预效果更好,干预频率为一周多于一次的干预效果要好于一周一次。但是,理论取向、干预过程中是否包含暴露练习、认知重构和行为激活的干预策略、是否设置提醒以及脱落率的高低均不存在调节作用。本研究说明网络化心理干预对改善丧亲人群的心理健康状况效果较为理想,并且在不同条件下网络化心理干预具有不同的效果。

The field of political economics in health has a significant and far-reaching impact on public health. It encompasses a diverse range of interconnected domains, including the economy, welfare, the environment, food and drug safety, pollution emissions, occupational safety, the quality of medical services, consumer rights, public health policy, healthcare policy, scientific research, and marketing management. In this review, we examine the global influence of political economics on health outcomes and delineate the impact of prevalent neurosurgical conditions on individual and collective healthcare resources. This review will discuss the effects of political-economic factors on the prevalence and treatment of neurosurgical diseases, including stroke, traumatic brain injury (TBI), intracerebral hemorrhage (ICH), and brain malignant tumors. Furthermore, the current challenges and future directions will be discussed. We intend this review to facilitate the exchange and integration of political economics, public health, and neurosurgery, provide a foundation for policy development, enhance the prevention, diagnosis, and treatment of neurosurgical diseases, and ultimately promote public health.

目的 检索、评价和总结出血性脑卒中患者围术期静脉血栓栓塞症（venous thromboembolism,VTE）非药物管理的相关证据，为临床提供参考。方法 按“6S”证据金字塔模型，采用计算机检索BMJ Best Practice(BMJ),UpToDate，乔安娜布里格斯研究所（Joanna Briggs Institute,JBI）循证卫生保健中心数据库，美国国立指南库（national guideline clearinghouse,NGC），英国国家卫生与临床优化研究所指南网（national institute for health and care excellence,NICE），苏格兰院际指南网（Scottish intercollegiate guidelines network,SIGN），加拿大安大略注册护士学会（registered Nurses’Association of Ontario,RNAO）指南网，加拿大心脏与卒中基金会（Canadian Heart and Stroke Foundation,HSF），美国心脏协会/美国脑卒中协会（American Heart Association/American Stroke Association,AHA/ASA），美国神经重症监护学会（Neuro-critical Care Society,NCS），欧洲脑卒中组织（European Stroke Organization,ESO）,Cochrane Library、PubMed,Medline,CNKI,Web of Science,Embase,SinoMed，万方，医脉通，维普数据库，中华医学期刊全文数据库关于出血性脑卒中患者围术期静脉血栓栓塞症非药物管理的相关证据，包括临床实践指南，专家共识，系统评价，证据总结等。检索时限为建库至2024年4月11日。由2名研究人员独立对文献质量进行评价，提取、整合和总结出最佳证据。结果 共纳入23篇文献，包括12篇指南、5篇系统评价、4篇专家共识，2篇证据总结。从多学科团队合作、风险评估与筛查、基础预防、机械预防和健康教育5个方面汇总了31条最佳证据。结论 本研究总结了出血性脑卒中患者围术期VTE非药物管理的最佳证据，可为临床医护人员提供循证依据。

目的 系统检索和总结国内外关于乳腺癌患者出院计划的最佳证据，为临床实践提供循证依据。方法 系统检索Up To Date、BMJ Best Practice、国际指南协作网、英国国家卫生与临床优化研究所、美国国立指南库、苏格兰院际间指南网、加拿大医学会临床实践指南信息库、澳大利亚临床实践指南平台、新西兰临床指南网站、美国临床肿瘤学会、加拿大安大略省注册护士协会、美国国立综合癌症网络、澳大利亚乔安娜布里格斯研究所卫生保健数据库、Cochrane Library、Embase、CINAHL、PubMed、Web of Science、中国知网、中国生物医学文献数据库、维普数据库、万方数据知识服务平台、中华护理学会、中国临床肿瘤学会及医脉通中有关乳腺癌患者出院计划的临床决策、指南、证据总结、系统评价、专家共识和意见，检索时限为建库至2024年6月10日。由2名研究者独立进行文献质量评价、证据提取和整合。结果 共纳入10篇文献，其中临床决策2篇、指南2篇、系统评价4篇、证据总结2篇。共总结30条证据，包括5个主题，分别是早期评估、制定计划、健康教育、执行计划及追踪与评价。结论 该研究针对乳腺癌患...

Background: The internet + nursing service is an important initiative for implementing the strategy of healthy China and actively responding to the aging of the population. However, the current literature on residents' awareness and willingness to participate is insufficient and presents large variations and limitations. Therefore, this study aims to systematically evaluate the awareness and willingness of Chinese residents to participate in internet + nursing service to comprehensively understand the level of awareness and acceptance of this emerging service model among Chinese residents and to provide strong support for relevant policy formulation and service optimization. Methods: The PubMed, Embase, Cochrane Library, Web of Science, CNKI, WanFang Data, SinoMed, and VIP databases were electronically searched to collect cross-sectional studies related to the awareness and willingness of Chinese residents to participate in internet + nursing service from inception to January 2024. Two reviewers independently screened the literature, extracted the data, and assessed the risk of bias of the included studies. Results: A total of 27 cross-sectional studies involving 11,761 subjects were included. The results of the meta-analysis showed that the percentage of Chinese residents willing to participate in internet + nursing service was 76.3% (95% CI [71.2%, 81.3%]). The results of the subgroup analysis showed that residents who lived in Western regions (82.1%), had employee medical insurance (85.9%), were suffering from other diseases (89.2%), were under the age of 60 (87.8%), were not married (78.9%), and had an undergraduate degree or above (85.5%) had a relatively high willingness to participate in internet + nursing service. The rate of awareness of internet + nursing service among Chinese residents was 48.6% (95% CI [24.1%, 73.2%]), which shows a downwards trend over time (67.4% in 2019, 56.1% in 2020, and 45.1% in 2021). Conclusion: The willingness to participate in internet + nursing service among Chinese residents is high, but the awareness rate is low. It is necessary to improve the awareness and willingness of Chinese residents to use internet + nursing service through various channels and aspects of publicity and promotion to achieve the goal of innovating the health service model, accurately connecting with the diverse health needs of people, and actively responding to the aging population.

目的 基于症状自评量表（symptom checklist 90,SCL-90）结果，探究中国潜艇部队官兵心理健康状况影响因素及其发展变化趋势。方法 利用Review Manager 5.3软件对中国知网（CNKI）、维普（VIP）、万方（Wanfang）等数据库自建库以来关于中国潜艇部队官兵SCL-90相关调查研究进行整理分析，根据不同影响因素进行系统评价。结果 共纳入9篇文献、20个组别，潜艇部队官兵共1 395人。潜艇部队官兵航后航前心理状况差异meta分析结果显示，潜艇部队官兵航后相较于航前的9个SCL-90因子平均效应量均为正值，其中躯体化、强迫、人际敏感、抑郁、焦虑、敌对、恐怖及精神病的差异均有统计学意义（均P0.05）；核潜艇和常规潜艇心理状况差异meta亚组分析结果显示，核潜艇部队官兵总体的SCL-90因子相较于2016年军人常模的平均效应量均为正值，且躯体化、强迫、人际敏感、抑郁、焦虑、恐怖、偏执及精神病性的差异均有统计学意义（均P0.05）。常规潜艇官兵各...

目的 对乳腺癌患者性功能障碍发生率及其影响因素进行系统评价。方法 计算机检索国内外关于乳腺癌患者性功能障碍发生率及其影响因素的研究，检索时段为建库到2023年7月31日，由2名研究员独立进行文献筛选和信息提取，并进行质量评估，采用Stata 18.0软件进行Meta分析。结果 总计纳入17项研究，样本量为3 818例。乳腺癌患者的性功能障碍发生率为63.0%[95%CI(54.0%,72.0%)]。亚组分析结果显示，国内外乳腺癌患者的性功能障碍发生率分别为75%和48%,且差异有统计学意义。Meta分析结果显示：年龄(OR=1.12,95%CI:1.04～1.19,P=0.001)、月平均收入(OR=1.87,95%CI:1.23～2.87,P=0.004)、围绝经期(OR=4.32,95%CI:1.90～9.80,P<0.001)、手术方式(OR=2.61,95%CI:1.73～3.94,P<0.001)、化疗(OR=2.29,95%CI:1.38～3.78,P=0.001)、性健康教育(OR=4.68,95%CI:2.95～7.43,P<0.001)、术后时间(O...

There is growing concern about the concept that exposure to environmental chemicals may be contributing to the obesity epidemic. However, there is no consensus on the obesogenic effects of emerging contaminants from a toxicological and environmental perspective. The potential human exposure and experimental evidence for obesogenic effects of emerging contaminants need to be systematically discussed. The main objective of this review is to provide recommendations for further subsequent policy development following a critical analysis of the literature for humans and experimental animals exposed to emerging contaminants. This article reviews human exposure to emerging contaminants (with a focus on antimicrobials, preservatives, water and oil repellents, flame retardants, antibiotics and bisphenols) and the impact of emerging contaminants on obesity. These emerging contaminants have been widely detected in human biological samples. Epidemiological studies provide evidence linking exposure to emerging contaminants to the risks of obesity in humans. Studies based on animal models and adipose cells show the obesogenic effects of emerging contaminants and identify modes of action by which contaminants may induce changes in body fat accumulation and lipid metabolic homeostasis. Some knowledge gaps in this area and future directions for further investigation are discussed.

目的 系统评价我国居民对基层医疗卫生机构中医药服务需求状况。方法 在中国知网、维普期刊网、万方服务平台、中国生物医学数据库、PubMed、Cochrane Library、Medline、Embase、Science Direct中进行文献检索，收集从建库至2023年3月发表的关于居民对基层医疗卫生机构中医药服务需求的文献，采用Review Manager5.4软件进行meta分析，由研究性质与异质性结果选择固定效应模型或随机效应模型。结果 经筛选，最后共纳入4篇中文文献，累计研究对象3 280例。meta分析显示，居民总体中医药服务需求率为74%[OR=0.74, 95%Cl (0.55, 0.94)]，中医药知识服务需求率为56%[OR=0.56,95%Cl (0.23, 0.89)]，中医药技术服务需求率为70%[OR=0.70, 95%Cl (0.40, 1.00)]，中医药康复服务需求率为58%[OR=0.70,95%Cl (0.45, 0.70)]。结论 我国居民对基层医疗卫生机构提供的中医药服务以及各类细分服务存在较高的需求。

目的:系统评价正念疗法对慢性心力衰竭患者健康状况的干预效果。方法:检索PubMed、CochraneLibrary、Clinic Trials、PsycInfo、EMbase、Web of Science、CNKI、VIP、WanFang、SinoMed数据库建库及中外临床试验注册中心，检索正念疗法对慢性心力衰竭患者健康状况影响的随机对照试验，检索时限均为从建库至2024年2月1日。由2名研究者进行质量评价，采用RevMan 5.4软件进行Meta分析。结果:最终纳入8项研究，评估调查对象714人；Meta分析结果显示，与对照组比较，正念疗法能有效地提高心力衰竭患者的运动耐量[SMD=2.50,95%CI(5.68,46.91),P0.05;SMD=1.98,95%CI(-5.22,-0.02),P=0.05]。结论:正念疗法可以有效地提高心力衰竭患者运动...

目的 系统评价临床护理路径健康教育对慢性肾小球肾炎患者康复的影响。方法 计算机检索中国知网、万方数据知识服务平台、中国科技期刊数据库、PubMed、Embase及The Cochrane Library等数据库，收集有关以临床护理路径健康教育为主要干预手段进行慢性肾小球肾炎患者康复管理的文献。在筛选文献、提取资料及质量评价后，采用RevMan 5.3软件进行Meta分析。结果 共纳入12篇文献。Meta分析结果显示，观察组疾病知晓率及心理功能、社会功能、生理功能、躯体功能的评分高于对照组，住院时间短于对照组（P<0.05）。结论 与常规健康教育或常规护理干预相比，实施临床护理路径健康教育有利于提高慢性肾小球肾炎患者的疾病知晓度，缩短住院时间，改善患者生活质量，具有较好的临床应用价值。

AimTo systematically search, evaluate and synthesise the most robust evidence regarding pressure injury prevention in orthopaedic patients admitted to general wards.DesignThe present study provides an evidence-based summary of the most robust findings, adhering to the evidence guidelines established by the Center for Evidence-Based Nursing of Fudan University.MethodAccording to the 6S model, a systematic search was conducted for literature on pressure injury prevention among orthopaedic patients in general wards. The types of literature included guidelines, clinical decisions, expert Consensus, evidence summaries, etc. The search period covered the time from the beginning of the database up to December 2023.Data SourcesThe following databases and resources were systematically searched: Up To Date, JBI, NICE, WOCN, NZWCS, etc.ResultsFifteen literature sources were included, comprising one clinical decision, eight guidelines, one systematic review, and one expert Consensus. In these sources, a comprehensive collection of 34 pieces of best evidence was formed across six key topics: risk assessment, position management, skin care, device used for device-related pressure injury, nutritional assessment, and support, as well as health education and training. Among the evidence gathered, a strong recommendation was made for 18 pieces, while the remaining 16 received a weak recommendation.ConclusionThis study provides a comprehensive synthesis of the most robust evidence on pressure injury prevention in orthopaedic patients, encompassing 34 pieces of evidence that can serve as valuable references for clinical practice. Before implementing this evidence, it is crucial to evaluate the specific contextual factors within different countries and medical institutions, as well as the facilitators and barriers influencing its application by healthcare professionals and patient's preferences. Furthermore, targeted evidence selection should be conducted through careful screening and subsequent adjustments in implementation, thereby offering a more scientifically grounded basis for clinical nursing practice. Future research endeavours should prioritise investigating strategies for effective evidence utilisation.Implications for the Profession and Patient CareThe prevention of pressure injuries poses a significant challenge for orthopaedic patients. This study presents a synthesis of 34 pieces of best evidence to provide guidance on preventive measures for pressure injuries in orthopaedic patients. Adhering to and implementing these 34 pieces of evidence can effectively aid in preventing pressure injuries in clinical practice. This evidence encompasses risk assessment, position management, skin care, device usage for device-related pressure injuries, nutritional support and evaluation, and health education and training, establishing a comprehensive and systematic implementation process. Assessing the risk of pressure injuries during interventions serves as an essential prerequisite for developing effective strategies to prevent such injuries among orthopaedic patients. Ultimately, this study will offer valuable guidance to healthcare professionals worldwide regarding preventing pressure injuries in orthopaedic patients.ImpactUpon admission to the hospital, it is essential to conduct a risk assessment and implement evidence-based, individualised prevention measures for pressure ulcers in patients to prevent their occurrence. This study will provide valuable insights into preventing pressure injuries in orthopaedic patients admitted to orthopaedic wards for healthcare workers worldwide.StateThe PRIMA manifest is utilised during the text preparation process. Trail Registration: ES20245365StateThe PRIMA manifest is utilised during the text preparation process. Trail Registration: ES20245365

目的：探讨高强度间歇训练（HIIT）与中等强度持续训练（MICT）对肥胖/超重儿童健康的影响，为肥胖/超重儿童运动干预提供理论依据。方法：检索发表在PubMed、Web of Science、中国知网（CNKI）等数据库中的相关文献，检索期限为建库至2024年2月，共纳入11篇文献，累计样本量为371例。采用Review Manager5.3软件，对得到的样本进行Meta分析。结果：（1）HIIT与MICT对肥胖/超重儿童体脂率、BMI、瘦体重干预效果在统计学上无显著性差异，但HIIT组干预总效应量均优于MICT组；（2）HIIT与MICT对肥胖/超重儿童VO2max有明显的干预效果，且HIIT组干预效果优于MICT组；（3）HIIT与MICT对肥胖/超重儿童SBP、DBP、INS、HOMA-IR、GLU、LDL-C、HDL-C、TC、TG干预效果在统计学上无显著性差异，但HIIT组干预总效应量均优于MICT组。结论：与MICT相比，HIIT对肥胖/超重儿童心肺适能的改善效果更显著；此外，相比MICT,HIIT对肥胖/超重儿童的体成分、心血管功能有更积极的促进作用...

目的 检索、评价成人夜尿症患者生活方式及行为干预的相关证据，为夜尿症状干预提供循证依据。方法 计算机检索UpToDate、BMJ Best Practice、乔安娜布里格斯研究所循证卫生保健研究中心、英国国家卫生与临床优化研究所、苏格兰学院间指南网、加拿大安大略注册护士协会、医脉通以及PubMed、Cochrane Library、Web of science、中国生物医学文献数据库、中国知网、万方、维普数据库发表的与夜尿症管理相关的临床决策、指南、证据总结、系统评价、随机对照试验、专家共识，检索时间为建库至2024年5月。2名研究者独立进行文献质量评价，并对资料进行提取与整合。结果 共纳入17篇文献，其中1篇临床决策、3篇指南、1篇系统评价、5篇随机对照研究、7篇专家共识，从饮食摄入、睡眠卫生、功能训练与活动、日常安全行为、中医治疗、相关疾病管理6个方面总结了28条证据。结论 夜尿症的干预需要结合饮食摄入、睡眠卫生、功能训练与活动、日常安全行为、中医治疗和相关疾病等方面管理的循证证据。

目的 系统评价思维导图在癌症患者术后健康教育中的应用效果。方法 检索PubMed、Web of Science、CINAHL、中国知网、万方知识服务平台、中国生物医学文献数据库中关于癌症患者思维导图式健康教育的随机对照试验，检索时限为建库至2024年3月。采用Cochrane 5.1.0文献质量评价标准对随机对照试验文献进行质量评价，采用Revman 5.4软件进行Meta分析。结果 共纳入21篇文献，包括1 850例患者。Meta分析结果表明，基于思维导图的健康教育可以减轻癌症患者术后的焦虑情绪[MD=-9.82,95%CI(-14.37,-5.27),P<0.01]、抑郁情绪[MD=-7.27,95%CI(-9.69,-4.85),P<0.01]、疼痛程度[MD=-1.03,95%CI(-1.75,-0.31),P<0.01],提高自我护理能力[MD=17.59,95%CI(15.22,19.95),P<0.01],缩短术后首次下床活动时间[MD=-12.51,95%CI(-16.76,-8.25),P<0.01],提高护理满意度[RR=1.23,95...