摘要
目的 评价肝动脉灌注化疗患者围术期护理的最佳证据.方法 依据6S模型自上而下进行文献检索,检索2012年8月至2022年8月国内外数据库及指南网中的所有指南、临床决策、系统评价、证据总结、专家共识及原始研究.由2名专业研究者对文献质量进行评价和证据提取及等级评定.结果 最终纳入文献19篇.其中专家共识5篇、指南3篇,原始研究11篇.经专家一致判断,汇总出22条持续灌注化疗围术期的最佳证据,包括评估、术前、术中和术后及并发症的观察与护理等方面的各项最佳证据.结论 相关医务人员在实际操作过程中,应根据现实基础条件及患者意愿,引用相应级别的证据.
Abstract
Objective To evaluate the best evidences of perioperative nursing care for patients receiving hepatic arterial infusion chemotherapy(HAIC)Methods Based on the"6S"model a top-down literature search was performed.A computerized retrieval of academic papers concerning the guidelines,clinical decision-making,systematic evaluation,evidence summary,expert consensus,and the original studies of HAIC from the domestic and foreign databases was conducted.The retrieval time period was from August 2012 to August 2022.The literature quality,evidence extraction and grading were evaluated by 2 professional researchers.Results A total of 19 articles,including expert consensus(n=5),guidelines(n=3)and original studies(n=1 1),were finally enrolled in this study.According to the unanimous assessment opinions of the experts,22 best evidences of perioperative nursing care for patients receiving HAIC were summarized,including the evidences about evaluation,preoperative,intraoperative and postoperative observation,nursing care of complications,etc.Conclusion This study provides a certain scientific and practical basis for guiding the medical staff to effectively perform the perioperative nursing care for patients receiving HAIC.In the actual operation process,the relevant medical workers should adopt the corresponding evidences to implement the nursing work according to the actual basic conditions and the patient's own will.(J Intervent Radiol,2024,33:431-437)
基金项目
浙江省卫生健康科技计划面上项目(2021KY090)
NETL
NSTL
万方数据