肛肠手术患者出院准备服务的最佳证据总结OA
The best evidence summary of discharge preparation service for patients undergoing anorectal surgery
目的 整合目前针对肛肠手术患者出院准备服务的最佳证据,为构建肛肠手术患者出院准备干预方案提供依据.方法 采用PIPOST模式构建循证问题,按照"6S"证据模型自上而下检索Up To Date、美国国立指南库、美国医疗保健研究与质量机构、英国国家卫生与临床优化研究所、国际指南协作网、BMJ、JBI图书馆、CochraneLibrary、PubMed、Embase、Sinomed、中国知网、维普、万方、医脉通等数据库及相关专业协会网站中有关肛肠手术患者出院准备服务的所有证据,并对纳人文献进行质量评价、证据提取与汇总.检索时限为建库至2024年4月1日.结果 纳入8篇文献,包括2篇临床决策、1篇指南、1篇证据总结、1篇系统评价、3篇专家共识,从关键原则、主要内容、实施保障、追踪评价4个主题汇总26条最佳证据.结论 本研究总结肛肠手术患者出院准备服务的最佳证据,为临床应用提供了循证依据.医护人员应结合临床情境与患者意愿,合理地应用证据,从而提升护理质量.
Objective To integrate the best evidence of discharge preparation service for patients undergoing anorectal surgery at present,and provide basis for constructing the intervention plan of discharge preparation for patients undergoing anorectal surgery.Methods PIPOST mode was adopted to construct evidence-based problems,according to the"6S"evidence model,all the evidence related to discharge preparation services for patients undergoing anorectal surgery were searched from top to bottom in the databases such as Up To Date,National Guide Library,American Health Care Research and Quality Institute,British National Institute for Health and Clinical Optimization,International Guide Collaboration Network,BMJ,JBI Library,CochraneLibrary,PubMed,Embase,Sinomed,China National Knowledge Infrastructure(CNKI),VIP,Wanfang,Yimaitong and the websites of related professional associations.The quality evaluation,evidence extraction and summary of the included literature were carried out.The retrieval time limit was to build the database until April 1,2024.Results 8 articles were included,containing 2 clinical decision-making,1 guidelines,1 evidence summary,1 systematic review and 3 expert consensus,and 26 best pieces of evidence were summarized from 4 topics,which were key principles,main contents,implementation guarantee and follow-up evaluation.Conclusion This study summarizes the best evidence of discharge preparation service for patients undergoing anorectal surgery,and provides evidence-based reference for clinical application.Medical staff should combine the clinical situation with patients'wishes and apply the evidence reasonably,so as to improve the quality of nursing.
阳欣君;佘柯仪;张红涛;高悦;尹心红
南华大学护理学院,湖南衡阳 421001南华大学护理学院,湖南衡阳 421001南华大学护理学院,湖南衡阳 421001南华大学护理学院,湖南衡阳 421001南华大学护理学院,湖南衡阳 421001
医药卫生
肛肠手术出院准备出院准备服务计划证据总结
Anorectal surgeryDischarge preparationDischarge preparation service planEvidence summary
《中国医药科学》 2025 (8)
94-97,4
湖南省科技厅项目(230SQT017).
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