摘要
目的对成人术后恶心呕吐(PONV)相关指南进行质量评价和内容分析,为临床PONV的管理提供参考。方法系统检索Web of Science、Embase、PubMed、UpToDate、中国生物医学文献数据库、万方数据库、中国知网、维普网、国内外临床实践指南网站及相关专业协会网站,检索时限为建库至2022年5月6日。由4名研究人员对符合纳入和排除标准的指南采用临床指南研究与评价系统进行独立评价并汇总指南的推荐意见。结果最终纳入15篇指南。指南的总体质量评价为3篇A级推荐,12篇B级推荐,其中6个领域的平均标准化百分比为:范围和目的为81.57%,参与人员为49.91%,严谨性为65.38%,清晰性为89.54%,应用性为34.86%,独立性为55.42%。从确定团队及组织管理、PONV风险评估、降低基线风险、PONV的多模式预防、效果评价与监测5个方面汇总了18条推荐意见。结论PONV管理的指南主要来自国外,建议临床人员在借鉴国外指南的同时结合国内的临床情境,将推荐意见本土化并指导临床实践的开展。
Objective To conduct quality evaluation and content analysis of adult postoperative nausea and vomiting(PONV)guidelines,so as to provide reference for management of clinical PONV.Methods Web of Science,Embase,PubMed,UpToDate,SinoMed,Wanfang Database,China National Knowledge Infrastructure,VIP,domestic and foreign clinical practice guidelines and related professional association websites were systematically searched,and the search period was from database establishment to May 6,2022.Four researchers independently evaluated the guidelines that met the inclusion and exclusion criteria using a clinical guideline research and evaluation system,and summarized the recommendations of the guidelines.Results Finally,a total of 15 guidelines were included in this study.The overall quality evaluation of the guide was 3 A-level recommendations and 12 B-level recommendations.The average standardization percentages for 6 areas were 81.57%for scope and purpose,49.91%for participants,65.38%for rigor,89.54%for clarity,34.86%for applicability and 55.42%for independence.A total of 18 recommendations were summarized from five aspects,such as team and organizational management,PONV risk assessment,baseline risk reduction,multimodal prevention of PONV and effectiveness evaluation and monitoring.Conclusions The guidelines for PONV management mainly come from foreign countries.It is recommended that clinical personnel should learn from foreign guidelines and combine them with domestic clinical situations to localize the recommended opinions and guide the development of clinical practice.
作者
张美怡
宋吉贵
周凯
李晓霞
李华华
王钎
肖秀云
黄志红
周艳妮
Zhang Meiyi;Song Jigui;Zhou Kai;Li Xiaoxia;Li Huahua;Wang Qian;Xiao Xiuyun;Huang Zhihong;Zhou Yanni(Department of Plastic Surgery,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China;Anesthesiology Department,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China)
出处
《中华现代护理杂志》
2023年第17期2274-2281,共8页
Chinese Journal of Modern Nursing
基金
南方医科大学南方医院护理创优循证护理项目(2021EBNb006)。
关键词
术后恶心呕吐
成人
指南
系统评价
Postoperative nausea and vomiting
Adults
Guideline
Systematic review
