摘要目的:整合国内外结直肠癌患者性健康管理的最佳证据，为临床实践提供指引。方法:系统检索国内外数据库及网站中关于结直肠癌患者性健康管理的证据，并对符合质量评价标准的文献进行证据提取和总结。检索时限为2003年7月—2023年7月。结果:最终纳入文献16篇，其中临床决策支持5篇、临床实践指南6篇、专家共识/团体标准3篇、系统评价2篇。最终形成34条推荐意见，包括评估与筛查、常用评估工具、性功能障碍的表现、性问题的应对策略、心理干预、生育力保护的措施、健康教育、随访管理8个方面。结论:本研究总结了结直肠癌患者性健康管理的最佳证据，需结合医护人员对患者病情的评估及临床实际情境进行选择性运用，以保证患者性健康管理策略的有效性和科学性，促进最佳证据向临床实践的转化。

abstractsObjective:To integrate the best evidence of sexual health management for colorectal cancer patients both domestically and internationally, so as to provide guidance for clinical practice.Methods:Evidence on sexual health management of colorectal cancer patients in domestic and foreign databases and websites was systematically searched, and evidence from literature that met quality evaluation standards was extracted and summarized. The search period was from July 2003 to July 2023.Results:A total of 16 articles were included, including five clinical decisions, six clinical practice guidelines, three expert consensus/group standards, and two systematic reviews. Thirty-four recommended opinions were formed, including eight aspects of evaluation and screening, assessment tools, manifestations of sexual dysfunction, coping strategies for sexual problems, psychological intervention, measures for fertility protection, health education, and follow-up management.Conclusions:This study summarizes the best evidence for sexual health management in colorectal cancer patients. It is necessary to selectively apply evidence based on the evaluation of patient conditions by medical and nursing staff and clinical situations to ensure effective and scientific sexual health management strategies for patients, and promote the translation of best evidence into clinical practice.