儿童扁桃体切除病人日间手术安全管理的最佳证据总结OA
Best evidence summary for the safety management of day surgery in children with tonsillectomy
目的:评价及总结儿童扁桃体切除病人日间手术围术期安全管理的最佳证据.方法:计算机检索BMJ、the Cochrane Library、UpToDate、世界卫生组织(WHO)网站、日间手术协会网站、美国耳鼻咽喉头颈外科协会网站、澳大利亚乔安娜布里格斯研究所(JBI)循证卫生保健中心等数据库中与促进儿童扁桃体切除病人日间手术安全管理相关的临床决策、指南、专家共识、系统评价、证据总结,检索时限为自建库至2023年11月,由2名研究者进行文献质量评价、提取汇总证据并分级.结果:共纳入10篇高质量文献,包括临床决策3篇,指南3篇,专家共识2篇,系统评价1篇,证据总结1篇.从术前评估与准备、密切护理与病情观察、出院指导及随访3个方面共汇总形成25条最佳证据.结论:建议今后临床医护人员结合临床实际选择最佳证据,进一步完善儿童扁桃体日间手术护理规范,保障患儿日间手术安全.
Objective:To evaluate and summarize the best evidence for perioperative safety management of day surgery in children with tonsillectomy.Methods:Clinical decisions,guidelines,expert consensus,systematic reviews and evidence summaries related to promoting the safe management of day surgery for pediatric tonsillectomy patients were searched by computer in databases including BMJ,the Cochrane Library,UpToDate,website of WHO,website of Day Surgery Association,website of American Association of Otolaryngology,website of Head and Neck Surgery,JBI Evidence-Based Health Care Center from inception to November 2023.Two researchers evaluated literature quality,extracted and summarized evidence,and graded it.Results:A total of 10 high-quality literatures were included,including 3 clinical decisions,3 guidelines,2 expert consensus,1 systematic review,and 1 evidence summary.A total of 25 pieces of best evidence were collected from three aspects:preoperative assessment and preparation,close nursing and observation,discharge guidance and follow-up.Conclusions:It is suggested that clinical medical staff should select the best evidence according to the clinical practice in the future,and further improve the nursing norms of children's tonsil day surgery to ensure the safety of children's day surgery.
岳卉云;徐东娥;冯勤;郭巧英;徐嘉灵
310053,浙江中医药大学310012,浙江省立同德医院
扁桃体日间手术围术期循证护理
tonsilday surgeryperioperative periodevidence-based nursing
《全科护理》 2024 (016)
2971-2975 / 5
浙江省中医药科技计划项目,编号:2023ZF005.
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