广东省慢性鼻窦炎围手术期加速康复外科护理专家共识  

Consensus of experts on perioperative care of chronic rhinosinusitis under the concept of enhanced recovery after surgery

作　　者：郑莹[1] 胡丽茎[2] 梁颖怡 陈婉东 王东芳[1] Zheng Ying;Hu Lijing;Liang Yingyi;Chen Wandong;Wang Dongfang(Department of ENT,the First Affiliated Hospital of Sun Yat-sen University,Guangzhou 510080,China;Nursing Department,the First Affiliated Hospital of Sun Yat-sen University,Guangzhou 510080,China)

机构地区：[1]中山大学附属第一医院耳鼻咽喉科,广州510080 [2]中山大学附属第一医院护理部,广州510080

出　　处：《中国实用护理杂志》2021年第34期2687-2695,共9页Chinese Journal of Practical Nursing

摘　　要：目的形成慢性鼻窦炎围手术期加速康复外科护理专家共识,以推动我国慢性鼻窦炎围手术期加速康复外科护理的规范化发展。方法由5名主管护师及以上职称的护理人员组成共识工作组,通过查阅文献证据并结合临床实践经验,形成共识初稿,采用德尔菲法对10名医护专家进行3轮函询,再依据证据质量评价和推荐强度评级系统(GRADE)对共识各条目进行证据质量及推荐等级评价。结果该共识涵盖慢性鼻窦炎院前护理指导、术前护理、术后护理、出院护理4个方面,共12个条目,涉及健康教育、个体化治疗指导、网络平台使用、适应性训练、饮食管理、活动指导、疼痛管理、出院随访等内容。结论该共识内容覆盖慢性鼻窦炎围手术期加速康复外科护理的各个环节,具有科学性、严谨性和权威性,可为慢性鼻窦炎围手术期加速康复外科护理提供参考及指导。Objective To form the consensus of nursing experts in accelerated rehabilitation surgery in perioperative period of chronic rhinosinusitis in order to promote the standardized development of accelerated rehabilitation surgery nursing in perioperative period of chronic rhinosinusitis in China.Methods By consulting the literature evidence and combining with the clinical practice experience,the consensus draft was formed by more than 5 nurses in charge of nursing.According to the Grading of Recommendations Assessment,Development and Evaluation System,(GRADE),the evidence quality and recommendation grade of each item were evaluated.Results The consensus covered 4 aspects of pre­hospital care guidance,including preoperative care,postoperative care,and discharge care for chronic rhinosinusitis,with a total of 12 items,including health education,individualized treatment guidance,network platform use,adaptive training,diet management,activity guidance,pain management,and discharge follow-up.Conclusions The content of this consensus covers all aspects of accelerated rehabilitation surgery nursing during perioperative period of chronic rhinosinusitis,which is scientific,rigorous and authoritative,and can provide reference and guidance for accelerated rehabilitation surgery nursing in the perioperative period of chronic rhinosinusitis.

关 键 词：慢性鼻窦炎 加速康复 围手术期护理 GRADE 专家共识 

分 类 号：R473.76[医药卫生—护理学]