首页|基于ERAS理念的妇科日间手术围术期管理最佳证据总结

基于ERAS理念的妇科日间手术围术期管理最佳证据总结

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目的 系统检索、提取、汇总和分析基于 ERAS理念的妇科日间手术围术期管理的最佳证据.方法 计算机检索BMJ Best Practice、Up-To-Date、Cochrane Library、美国国立实践指南库(AHRQ)、国际指南协作网(G-I-N)、加拿大医学实践指南库(CMA)、苏格兰校际指南网(SIGN)、新西兰指南研究组(NZGG)、英国国家临床优化研究所(NICE)、加拿大安大略注册护士协会(RANO)、美国妇科腔镜协会(AAGL)、加拿大妇产科医师协会(SOGC)、Ovid、CINAHL、Web-of-Science、EMbase、PubMed、CNKI、万方数据库等检索平台中关于日间手术围术期管理的所有信息,包括临床实践、证据总结、临床意见、专家共识、系统评价等,同时整合证据,检索时间为建库至2023 年2 月.结果 最终纳入文献11 篇,分别为指南3 篇、临床决策2 篇、专家共识6 篇,总结归纳出5 个维度29 条证据,包括全面的术前宣教、术前评估及管理策略、术中管理策略、术后管理策略、出院宣教及术后随访.结论 本研究总结出基于ERAS理念的妇科日间手术围术期管理的29 条证据,为临床护理提供循证实践依据,提高临床护理质量.
Summary of best evidence for perioperative management of gynecological daytime surgery based on the ERAS concept
Objective To systematically search,extract,summarize and analyze the best evidence for perioperative management in gynecological day surgery based on the ERAS concept.Methods We conducted searches from BMJ Best Practice,Up-To-Date,Cochrane Library,AHRQ,G-I-N,CMA,SIGN,NZGG,NICE,RANO,AAGL,SOGC,Ovid,CINAHL,Web-of-Science,Embase,PubMed,CNKI and Wanfang databases to gather all information about perioperative management of daytime surgery,include clinical practice,evidence summaries,clinical opinion,expert consensuses,systematic reviews,etc,at the same time,the evidence was integrated,and the retrieval time was from the published to February 2023.Results 11 articles were ultimately included,comprising 3 guidelines,2 clinical decision-making articles and 6 expert consensus articles.29 pieces of evidence were extracted and categorized into 5 themes:comprehensive preoperative education,preoperative evaluation and management strategies,intraoperative management strategies,postoperative management strategies,discharge education and postoperative follow-up.Conclusions This study provides a summary of 29 pieces of evidence on perioperative management in gynecological daytime surgery based on the ERAS concept,offering an evidence-based foundation for clinical nursing practice and enhancing its quality.

daytime surgerygynecologyrapid recoveryevidence based caresummary of evidence

童慧、朱丽娜、刘丽丽、马晶晶、王大玉、孟贝贝、崔笑敏

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210008 江苏 南京,南京大学医学院附属鼓楼医院妇科

日间手术 妇科 快速康复 循证护理 证据总结

2024

中国计划生育和妇产科
中国医师协会 四川省医学情报研究所

中国计划生育和妇产科

CSTPCD
影响因子:1.116
ISSN:1674-4020
年,卷(期):2024.16(4)
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