首页|痔切除术后患者疼痛管理的最佳证据总结

痔切除术后患者疼痛管理的最佳证据总结

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目的 对痔切除术后患者疼痛管理的相关文献进行检索、评估,总结最佳证据.方法 根据6S证据模型,采用计算机检索国内外相关数据库中痔切除术后疼痛的相关文献,包括指南、专家共识、系统评价、荟萃分析、随机对照试验(RCT),时间为建库至2023年3月12日.依据相应文献评价标准,对符合文献评价标准的证据进行质量评价,并结合专家意见加以提炼归纳.结果 共收录文献16篇,包含指南1篇、专家共识6篇、系统评价8篇、RCT1篇;证据内容包括疼痛的识别与评估、药物管理措施、中医疗法、围术期健康教育,共提取21条证据.结论 痔切除术后应根据患者的病情及临床状况制订最高效的疼痛管理方案,以减轻患者术后疼痛.
Best evidence summary of pain management for patients after hemorrhoidectomy
Objective To retrieve and evaluate relevant literatures on pain management for pa-tients after hemorrhoidectomy and summarize the best evidence.Methods Based on the 6S evidence model,computer-based searches were conducted in relevant domestic and foreign databases for litera-tures related to pain after hemorrhoidectomy,including guidelines,expert consensus,systematic re-views,meta-analysis,and randomized controlled trial(RCT),from the establishment of the databas-es to March 12,2023.The quality of evidence meeting the evaluation criteria was evaluated according to the corresponding literature evaluation criteria,and was summarized in combination with expert o-pinions.Results A total of 16 literatures were included(1 guideline,6 expert consensus,8 system-atic reviews,and 1 RCT);the evidence included pain identification and assessment,drug manage-ment measures,traditional Chinese medicine therapy,and perioperative health education,eventually 21 pieces of evidence were extracted.Conclusion After hemorrhoidectomy,the most effective pain management plan should be developed based on the patient's condition and clinical status to relieve postoperative pain.

hemorrhoidectomypain managementevidence summarypain assessmentpain identificationevidence-based nursing

李怡璇、王秋爽、温丽辉、薄灵芳、陈祺、冯江雪

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河北中医药大学护理学院,河北石家庄,050200

河北省中医院,河北石家庄,050013

痔切除术 疼痛管理 证据总结 疼痛评估 疼痛识别 循证护理

河北省中医药管理局中医药类科研计划(2021)

2021017

2024

实用临床医药杂志
扬州大学,中国高校科技期刊研究会

实用临床医药杂志

CSTPCD
影响因子:1.543
ISSN:1672-2353
年,卷(期):2024.28(7)
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