摘要
目的检索、评价和总结成人肠造口患者全程化护理管理的相关证据,为造口患者的全程化护理管理提供参考。方法应用循证护理的方法,计算机检索国内外指南网、相关学会网站及数据库中与成人肠造口患者全程化护理管理相关的指南、证据总结、团体标准、专家共识、系统评价等。检索时限为建库至2021年4月30日。对于纳入指南的质量评价标准采用临床指南研究与评价系统(AGREEⅡ)进行量化评分,采用澳大利亚JBI循证卫生保健中心证据分级及证据推荐级别系统(2014版)对纳入的证据进行等级划分。结果共纳入8篇文献,均为循证指南。从成人肠造口患者全程化管理的原则、术前定位及教育、术后的评估及教育、出院后随访4个方面汇总了11条证据。结论本研究采用的证据主要来源于国外著名的指南制定机构发布的循证指南,证据级别较高,可信度较好。建议证据应用人员结合医院特点和临床环境,有针对性地选择最佳证据,做好成人肠造口患者的护理管理。
Objective To retrieve,evaluate and summarize the relevant evidence of whole-course nursing management of adult patients with enterostomy and provide a reference for the whole-course nursing management of patients with enterostomy.Methods The methods of evidence-based nursing were used to search the guidelines,evidence summary,group standards,expert consensus and systematic evaluation related to the whole-course nursing management of adult enterostomy patients from the domestic and foreign guidelines network,websites of relevant societies and databases.The retrieval time was from the establishment of the database to April 30,2021.The quality evaluation criteria of the included guidelines were quantitatively scored using the AGREEⅡ,and the included evidence was graded according to the Australian JBI Evidence Based Health Care Centre Evidence Grading and Evidence Recommendation Grading System(2014 Edition).Results A total of 8 articles were included,all of which were evidence-based guidelines.A total of 11 pieces of evidence were collected from 4 aspects,including principles of whole-course management of adult enterostomy patients,preoperative positioning and education,postoperative evaluation and education and follow-up after discharge.Conclusions The evidence used in this study mainly comes from evidence-based guidelines issued by well-known foreign guideline-setting institutions.The level of evidence is high and the credibility is good.It is suggested that evidence application personnel should select the best evidence according to hospital characteristics and clinical environment,and do a good job in nursing management of adult enterostomy patients.
作者
王霞
杨雪
孙超
王蕾
刘文静
牟芸
郭红
Wang Xia;Yang Xue;Sun Chao;Wang Lei;Liu Wenjing;Mou Yun;Guo Hong(Nursing Department,Beijing Hospital,National Center of Gerontology,Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing 100730,China;Healthcare Department,Beijing Hospital,National Center of Gerontology,Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing 100730,China;School of Nursing,Beijing University of Chinese Medicine,Beijing 102488,China)
出处
《中华现代护理杂志》
2022年第12期1591-1595,共5页
Chinese Journal of Modern Nursing
基金
北京医院院内课题(BJ-2019-165)。
关键词
肠造口术
成年人
全程化
护理管理
证据总结
Enterostomy
Adults
Whole-course
Nursing management
Evidence summary
