摘要
目的 对国内外造口护理临床实践指南的推荐意见进行内容分析,为构建适合我国本土的造口护理临床实践指南提供借鉴.方法 采用内容分析法,对网络检索获得的临床实践指南的推荐意见进行文献内容分析.结果 共纳入13份临床实践指南,均发布于2005年至2016年（尚未更新）,其中4份是循证性指南,9份为非循证性指南,析出21项造口护理相关内容.结论虽然现有造口护理临床实践指南可指导造口护理临床实践,但是多数指南未基于循证制定,方法学质量不高,部分推荐意见内容不够明确,未能及时更新,易误导临床实践;且大部分指南由国外机构制定,适合国外情境的推荐意见未必符合我国国情.应结合我国实际情况和最佳证据,构建适合本土的造口护理临床实践指南.
Objective To analyze and provide reference for developing clinical practice guidelines of ostomy care suitable for the domestic health care settings. Methods Content analysis method was used to analyze clinical practice guidelines searched from the Internet. Results A total of 13 clinical practice guidelines were included. All the guidelines were published between 2005 to 2016 without update. Four of them were evidence-based guidelines, the rest were not. A total of 21 items were identified as being related to ostomy care. Conclusions Although the existing clinical practical guidelines are instrumental to guiding clinical ostomy care practice, most of them were not evidence-based guidelines without high methodological quality. Meanwhile, some guidelines lack specific and updating recommendations for ostomy care, which may cause problems in ostomy care practice. What′s more, some recommendations may not suit for China because they were made in the foreign circumstance. Researchers and clinical nurses should develop local practice guidelines of ostomy care with consideration of the actual medical conditions in China and the best evidence.
出处
《中国实用护理杂志》
2017年第34期2683-2687,共5页
Chinese Journal of Practical Nursing
关键词
造口护理
临床实践指南
内容分析法
Ostomy care
Clinical practice guideline
Content analysis method
