成人围术期肺康复管理的最佳证据总结
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女,硕士在读,学生

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Evidence summary on perioperative pulmonary rehabilitation in adults
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    目的 总结成人围术期肺康复管理的相关证据,为临床提供参考。方法 从国内外循证资源和文献数据库中检索成人围手术期肺康复管理的证据。对各类型文献进行质量评价后提取并汇总证据 。结果 共纳入8篇文献。其中3篇临床决策,1篇指南,2篇证据总结,2篇专家共识。从危险因素、评估方式、物理康复、患者教育、心理康复、围术期营养和术后镇痛7个方面综合22条最佳证据。结论 在成人围术期肺康复临床护理标准尚未建立的背景下,可以通过循证证据总结,规范临床实践。在证据应用阶段,证据使用单位应充分考虑应用环境和患者的意愿选择证据。

    Abstract:

    Objective To summarize the existing evidence relating perioperative pulmonary rehabilitation in adults,and to provide reference for clinical practice. Methods We searched electronic databases and sources of evidence-based medicine to collect papers relating pulmonary rehabilitation. Quality of the literature was evaluated and then evidence was extracted and summarized. Results Totally 8 papers were included, of which 3 were best practice reports, 1 guideline, 2 evidence summaries, and 2 expert consensus statements. Seven aspects involving 22 pieces of evidence were summarized, including risk factors, assessment, physical rehabilitation, patient education, psychological rehabilitation, perioperative nutrition and postoperative pain control. Conclusion Under the situation of lack of standards for clinical nursing of perioperative pulmonary rehabilitation in adults, evidence-based summary could be formulated to standardize clinical practice.In the phase of evidence application, the evidence should be implemented based on clinical environment and the patient′s preference.

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刘天艺,喻姣花,李素云,黄海燕,柯卉,张桃,刘云访,晏蓉.成人围术期肺康复管理的最佳证据总结[J].护理学杂志,2021,36(2):88-92

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  • 收稿日期:2020-08-30
  • 最后修改日期:2020-10-15
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  • 在线发布日期: 2022-09-16