摘要
目的检索并获取成人手术患者使用弹力袜预防DVT的相关证据,为临床护理实践提供参考。方法计算机检索BMJ Best Practice、UpToDate、Joanna Briggs Institute(JBI)循证卫生保健国际合作中心图书馆、英国国家临床医学研究所指南库、加拿大安大略注册护士协会、苏格兰学院间指南网、美国胸科医师协会官网、国际血管联盟官网、Cochrane library、PubMed、EMbase、中国生物医学文献数据库(CBM)、万方数据库、CNKI中关于成人手术患者使用弹力袜预防下肢DVT的相关证据,包括指南、证据总结、临床决策、系统评价、专家共识,检索时限为建库至2019年10月14日。由2名研究者对文献质量进行评价和资料提取。结果共纳入文献29篇,包括指南8篇、证据总结4篇、临床决策2篇、系统评价12篇、专家共识3篇。从使用禁忌证、适用人群、应用时机、长短选择、使用方法5个方面进行证据总结,归纳出12条推荐意见。结论对于存在下肢DVT风险的成人手术患者,推荐逐级加压弹力袜作为机械预防方式之一,且推荐在预防周期内尽可能长时间穿着;护理人员应结合患者意愿选择逐级加压弹力袜的类型,并确保正确穿戴和定时评估。
Objective To retrieve and obtain relevant evidence of compression stockings to prevent deep vein thrombosis(DVT)of the lower extremities in adult surgical patients,and to provide a reference for clinical nursing practice.Methods The relevant evidence of compression stockings to prevent DVT of the lower extremities in adult surgical patients was retrieved from BMJ Best Practice,UpToDate,library of the Center for Evidence Based Healthcare at Joanna Briggs Institute(JBI),National Institute for Health and Care Excellence clinical guidelines,Registered Nurses'Association of Ontario,Scottish Intercollegiate Guidelines Network,official websites of American College of Chest Physicians and International Union of Angiology,Cochrane library,PubMed,EMbase,China Biomedical Literature Database(CBM),Wanfang,and CNKI,including guidelines,evidence summary,clinical decisions,systematic review,and expert consensus,which was published up to October 14,2019.Two researchers evaluated the quality of the literature and extracted data.Results A total of 29 articles were included,including 8 guidelines,4 evidence summaries,2 clinical decisions,12 systematic reviews,and 3 expert consensuses.The evidence was summarized from contraindications,applicable population,application timing,selection of duration,and methods,and 12 recommendations were summarized.Conclusions For adult surgical patients who are at risk of DVT of the lower extremities,stepwise compression stockings are recommended as one of the mechanical prevention methods,and it is recommended to wear them for as long as possible during the prevention cycle;nursing staff should choose the type of stepwise compression stockings based on the patient's wishes and ensure proper wearing and regular evaluation.
作者
刘飞
司龙妹
张佩英
王影新
张萌
丁炎明
Liu Fei;Si Longmei;Zhang Peiying;Wang Yingxin;Zhang Meng;Ding Yanming(Department of General Surgery,Peking University First Hospital,Beijing 100034,China;Center for Evidence-based Nursing Research,Peking University Health Science Center,Beijing 100034,China;Department of Urinary Surgery,Peking University First Hospital,Beijing 100034,China;Department of Nursing,Peking University First Hospital,Beijing 100034,China)
出处
《中华现代护理杂志》
2020年第31期4352-4358,共7页
Chinese Journal of Modern Nursing
基金
北京大学第一医院科研种子基金(2019SF51)。
关键词
深静脉血栓
手术
弹力袜
证据总结
Deep vein thrombosis
Surgery
Compression stockings
Evidence summary
