关键词: 乳腺癌, 幸存者, 睡眠障碍, 非药物干预, 证据总结

Abstract: Objective To screen, extract and summarize the best evidence related to non⁃drug prevention and management of sleep disorders in breast cancer survivors, providing a relevant practical basis for sleep management in breast cancer survivors. Methods The PIPOST model was used to construct evidence⁃based questions. According to the "6S" model of evidence⁃based search resources, computer⁃aided literature search was conducted on PubMed, BMJ Best Practice, JBI Evidence⁃Based Health Care Center, NICE, Web of Science, American Society of Clinical Oncology (ASCO), CNKI, and Wanfang Database. The search content included clinical guidelines, expert consensus, systematic evaluation, randomized controlled trials, clinical decision⁃making, and evidence summary. Results A total of 13 references were included, including 2 clinical guidelines, 2 expert consensus, 3 systematic reviews, and 6 randomized controlled trials; 27 pieces of evidence were summarized with 6 dimensions, i.e., sleep disorder screening and evaluation, sports activity recommendations, mindfulness training treatment, cognitive behavioral intervention, traditional Chinese medicine treatment, and sleep hygiene and health education. Conclusions The 27 best evidences summarized in this study provides a relevant practical basis for sleep management of breast cancer survivors, and it is helpful to combine the evidence with clinical practice in developing systematic, comprehensive and individualized sleep management programs.

Key words: Breast cancer, Survivors, Sleep disorders, Non?drug interventions, Evidence summary