【摘要】 目的 系统检索并总结小儿脊柱裂国内外全生命周期康复护理策略的最佳证据，为临床护理决策提供循证依据。方法 检索BMJ最佳临床实践、UpToDate、The Cochrane Library、JBI循证卫生保健中心数据库、中国知网、万方等国内外指南网站及数据库中关于小儿脊柱裂膀胱功能障碍全生命周期康复护理的所有证据，包括证据总结、临床指南、专家共识、系统评价等，检索时限为建库至2024年1月，由2名研究者进行独立文献质量评价、证据提取、归纳及汇总。结果 共纳入16篇文献，包括6篇临床指南、2篇专家共识和8篇系统评价，从妊娠期及新生儿期、学龄前期及学龄期、青春成长期3个方面提取31条最佳证据。结论 应结合临床情境、个人病情和专业意见，选择最佳证据，进行临床转换及决策，以期建立适合我国本土化小儿脊柱裂膀胱功能障碍全生命周期康复护理方案，为本土临床循证提供参考依据及理论指导。更多还原

【Abstract】 Objective To systematically summarize the best evidence of comprehensive rehabilitation management for pediatric spina bifida with bladder dysfunction throughout the full continuum of care,thereby providing evidence-based support for clinical nursing. Methods A comprehensive search of international and domestic guideline websites and databases,including the BMJ Best Practice,UpToDate,The Cochrane Library,the JBI Evidence-Based Health Care Center,the Wanfang,and the CNKI Database,was conducted to retrieve all related evidence. This search encompassed evidence summaries,clinical guidelines,expert consensus,and systematic reviews published from database inception to January2024. Two researchers independently appraised literature quality,extracted,summarized,and synthesized the evidence.Results The final sample comprised 16 articles,including six clinical guidelines,two expert consensus and eight systematic reviews. A total of 31 best evidence items were extracted from three distinct periods of development:pregnancy and neonatal period,the preschool age and school age period,and the adolescent growth period. Conclusion The selection of the most compelling evidence should take into account clinical contexts,individual conditions and professional opinions,with the objective of establishing a localized comprehensive rehabilitation management program for pediatric spina bifida with bladder dysfunction in China.更多还原