摘要
目的 总结肺移植术后出院随访的最佳证据,为医护人员开展肺移植术后患者的随访提供参考.方法 检索BMJ Best Practice、UpToDate、JBI、国内外相关指南网站、中英文数据库及国际心肺移植协会网站中与肺移植术后出院随访的相关证据.由2名研究人员独立进行文献筛选和质量评价.结果 共纳入12篇文献,包括系统评价、指南各1篇,专家共识6篇,临床决策和证据总结各2篇.涉及随访人员、随访方式、随访频率、随访内容、随访记录和健康教育6个方面,共16条证据.结论 总结的肺移植术后患者出院随访证据以专家共识为主,医护人员在应用证据的同时可结合患者肺移植类型、基础疾病及移植后的时间和进展对患者实施科学的随访管理,以减少患者肺移植术后并发症的发生、延长其术后生存期限.
Abstract
Objective To summarize the best evidence for discharge follow-up of patients after lung transplantation,so as to provide references for medical staffs.Methods The relevant evidence related to discharge follow-up after lung transplantation was retrieved from BMJ Best Practice,UpToDate,JBI,guideline networks,Chinese and English databases,and the website of International Heart Lung Transplantation Association.Literature screening and quality evaluation were conducted independently by two researchers.Results A total of 12 pieces of literature were included,including one systematic review,one guideline,six expert consensus,two clinical decisions and two evidence summaries.The evidence covered six aspects:follow-up personnel,methods,frequency,content,documen-tation,and health education,resulting in a total of 16 pieces of evidence.Conclusion This study summarized the best evidence of discharge follow-up for patients after lung transplantation.Medical staffs can implement scientific follow-up management according to patients'lung transplantation type,underlying disease,time and progress after transplantation while applying evidences,so as to reduce the occurrence of complications after lung transplantation and prolong the postoperative survival time.
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