摘要
目的总结脊柱侧凸畸形患者行后入路矫形术的体位管理相关证据,为临床护理人员实施手术体位安置提供循证依据。方法系统检索国内外相关指南网站、数据库、专业网站及原始文献数据库中有关脊柱侧凸畸形患者行后入路矫形术的体位管理文献,检索时限为2013年6月至2023年6月。结果最终纳入12篇文献,包括临床决策3篇、专家共识5篇、系统评价1篇和证据总结3篇。形成最佳证据30条,包括体位安置原则、体位评估与训练、安置程序、术中监测与配合、术后护理和特殊情景下体位管理6个方面。结论总结的手术体位安置最佳证据内容全面、实用,手术人员可根据患者实际情况应用。
Objective To summarize the evidence on postural management of patients with scoliosis undergoing posterior approach orthopedic surgery,and to provide evidence for clinical nurses implementing surgical position placement.Methods Literature on postural management of posterior approach orthopedic surgery in patients with scoliosis were searched from relevant guideline websites,databases,professional websites and primary literature databases in domestic and overseas,the search time frame was from June 2013 to June 2023.Results A total of 12 articles were included,consisting of 3 clinical decisions,5 expert consensus reports,1 systematic review and 3 evidence summaries.Totally 30 pieces of best evidence were summarized and categorized into six aspects:position placement principle,position assessment and training,placement procedures,intraoperative monitoring and cooperation,postoperative care and postural management in special situations.Conclusion The summarized best evidence for surgical position placement is comprehensive and practical.It can be applied by the surgeon according to the actual situation of patients.
作者
余文静
周文娟
邢路瑶
梅竹
吕锡蓉
柯稳
Yu Wenjing;Zhou Wenjuan;Xing Luyao;Mei Zhu;Lu Xirong;Ke Wen(Operating Room,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)
出处
《护理学杂志》
CSCD
北大核心
2024年第15期41-46,共6页
Journal of Nursing Science
关键词
脊柱侧凸
矫形术
手术体位
俯卧位
证据总结
循证护理
手术室护理
scoliosis
orthopedic surgery
surgical position
prone position
evidence summary
evidence-based nursing
operating room nursing
