目的 检索、评价并总结髋膝关节置换术患者围手术期加速康复护理的最佳证据总结，为临床围手术期护理实践提供参考。 方法 运用循证护理学方法，检索BMJ Best Practice、UpToDate、PubMed、CINAHL、中国知网等相关数据库。检索时限为2010年12月至2022年12月。由4名研究者对指南独立进行质量评价，2名研究者对专家共识和系统评价独立进行质量评价，最终对纳入文献进行总结归纳。 结果 共纳入文献12篇，其中3篇指南、5篇专家共识、4篇系统评价。从术前教育、术前优化、围手术期麻醉管理、围手术期血液管理、围手术期疼痛管理、围手术期液体管理、围手术期体温保护、预防感染、预防血栓、术后恶心呕吐、管路管理、功能锻炼、围手术期促进康复13个方面，总结形成35条髋膝关节置换术患者围手术期加速康复护理的最佳证据。 结论 本研究总结髋膝关节置换术患者围手术期加速康复护理的最佳证据，旨在为临床构建和规范髋膝关节置换术患者围手术期加速康复护理实践方案，以期为临床围手术期护理实践提供参考。 Objective To search, evaluate and summarize the best evidence summary of perioperative accelerated rehabilitation nursing for patients undergoing hip and knee arthroplasty, so as to provide reference for clinical perioperative nursing. Methods Evidence-based nursing methods were used to search for relevant databases such as BMJ Best Practice, UpToDate, PubMed, CINAHL, and CNKI, etc.. The search period was from December 2010 to December 2022. Four researchers independently evaluated the quality of the guidelines, and two researchers independently evaluated the quality of expert consensus and system evaluation. Finally, the included literature was summarized. Results A total of 12 pieces of literature, 3 guidelines, 5 expert consensus and 4 systematic reviews were included. From 13 aspects of preoperative education, preoperative optimization, anesthesia management, perioperative blood management, perioperative pain management, perioperative fluid management, perioperative temperature protection, infection prevention, thrombus prevention, postoperative nausea and vomiting, postoperative drainage, functional exercise, and perioperative rehabilitation promotion, 35 pieces of the best evidence for hip and knee replacement patients to accelerate rehabilitation nursing in the perioperative period was summarized. Conclusions This study summarizes the best evidence of accelerated rehabilitation nursing in the perioperative period of hip and knee arthroplasty, aiming to build and standardize the accelerated rehabilitation nursing scheme in the perioperative period of hip and knee arthroplasty, so as to provide reference for clinical perioperative nursing.
Summary of the best evidence of accelerated rehabilitation nursing in perioperative period of patients undergoing hip and knee arthroplasty
Objective To search, evaluate and summarize the best evidence summary of perioperative accelerated rehabilitation nursing for patients undergoing hip and knee arthroplasty, so as to provide reference for clinical perioperative nursing. Methods Evidence-based nursing methods were used to search for relevant databases such as BMJ Best Practice, UpToDate, PubMed, CINAHL, and CNKI, etc.. The search period was from December 2010 to December 2022. Four researchers independently evaluated the quality of the guidelines, and two researchers independently evaluated the quality of expert consensus and system evaluation. Finally, the included literature was summarized. Results A total of 12 pieces of literature, 3 guidelines, 5 expert consensus and 4 systematic reviews were included. From 13 aspects of preoperative education, preoperative optimization, anesthesia management, perioperative blood management, perioperative pain management, perioperative fluid management, perioperative temperature protection, infection prevention, thrombus prevention, postoperative nausea and vomiting, postoperative drainage, functional exercise, and perioperative rehabilitation promotion, 35 pieces of the best evidence for hip and knee replacement patients to accelerate rehabilitation nursing in the perioperative period was summarized. Conclusions This study summarizes the best evidence of accelerated rehabilitation nursing in the perioperative period of hip and knee arthroplasty, aiming to build and standardize the accelerated rehabilitation nursing scheme in the perioperative period of hip and knee arthroplasty, so as to provide reference for clinical perioperative nursing.
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