Objective To construct a scheme for the prevention and management of stress injury in surgical patients based on evidence,to provide a reference for the homogenization and standardized development of clinical nursing and management in the operating room.Methods A research group was set up to search the literature related to intraopera-tive stress injury in the past 5 years under the theoretical guidance of evidence-based nursing.AGREE Ⅱ,AMSTAR2(version 2014),and JBI evidence classification criteria were used to evaluate the quality and classification of evidence.The evidence was extracted and the first draft of a protective strategy against intraoperative stress injury was drawn up.Twenty experts were consulted by the Delphi method for 2 rounds,and the strategy items were modified.Finalize the final draft of the plan.Results Ten articles were searched and screened,including 2 clinical guidelines,2 clinical deci-sions,1 expert consensus,and 5 evidence summaries and 28 pieces of best evidence were extracted to form the best evi-dence for the prevention and management of stress injury in surgical patients.including education and training,risk as-sessment,preoperative prevention,intraoperative prevention,postoperative evaluation,quality improvement chain overall management strategy.The participation rate of experts in the two rounds of expert meetings was 100％,and all experts ex-pressed relevant opinions and suggestions on the specific contents of the plan.The positive coefficient of the two rounds of expert letters was 100％,the expert authority coefficient was 0.92,the importance of each item were 0.392 and 0.420 respectively(P＜0.01),and the maneuverability Kendall's W coefficient were 0.322 and 0.366(P＜0.01).Finally,the prevention management program includes 4 first-level items,11 second-level items,and 25 third-level items,inclu-ding quality management,preoperative management,inter-operative management,and postoperative management.Con-clusion The prevention and management plan for stress injury of surgical patients based on evidence-based nursing theo-ry is scientific and reliable,has strong clinical application value and can lay a foundation for homogeneous prevention and management of stress injury in the operating room.
Pressure injuryEvidence-based nursingPrevention and managementPlan
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