根治性子宫切除术后病人膀胱管理的最佳证据总结  

Best evidences summary on bladder management of patients after radical hysterectomy

作　　者：胡燕[1] 王富兰[1] HU Yan;WANG Fulan(The Fist Affiliated Hospital of Chongqing Medical University,Chongqing 400016 China)

机构地区：[1]重庆医科大学附属第一医院,重庆400016

出　　处：《护理研究》2021年第10期1726-1731,共6页Chinese Nursing Research

基　　金：重庆医科大学附属第一医院院内科研基金,编号:HLJJ2018-17。

摘　　要：目的:检索并总结根治性子宫切除术后病人膀胱管理的最佳证据。方法:检索国内外数据库,对纳入的文献质量进行评价,并对文献进行证据提取。结果:共纳入14篇文献,其中指南8篇,系统评价3篇,证据总结3篇。总结出最佳证据24条,包括膀胱功能评估、留置尿管管理、间歇导尿管理、膀胱功能训练、健康教育5个方面,其中1级证据10条,2级证据7条,3级证据2条,5级证据5条;A级推荐17条,B级推荐7条。结论:临床护理人员应在循证并结合临床实际情况及病人意愿的情况下,选择性地应用根治性子宫切除术后病人膀胱管理相关证据,促进病人膀胱功能恢复,提升护理质量。Objective:To retrieve and summarize the best evidences on bladder management of patients after radical hysterectomy.Methods:Databases in China and abroad were retrieved.Then quality of included literatures was evaluated.And evidences were extracted from literatures.Results:A total of 14 literatures were included,involving eight guidelines,three systematic reviews,and three evidence summaries.A total of 24 pieces of best evidences were summarized,including 5 aspects with bladder function assessment,indwelling catheter management,intermittent catheterization management,bladder function training and health education.There were 10 pieces of evidences at level 1,7 pieces of evidences at level 2,2 pieces of evidences at level 3,5 pieces of evidences at level 5.There were 17 pieces of recommendations at grade A and 7 at grade B.Conclusions:Clinical nursing staff should selectively apply relevant evidence of bladder management of patients after radical hysterectomy according to evidence-based combining with clinical reality and patient expectations to promote recovery of patients'bladder function and improve quality of care.

关 键 词：根治性子宫切除术 膀胱功能 神经源性膀胱 证据总结 循证护理 

分 类 号：R473.71[医药卫生—护理学]