成人手术部位感染预防相关临床实践指南的质量评价  

Quality evaluation of clinical practice guidelines related to the prevention of surgical site infections in adults

作　　者：雷清梅 颜红波[1] 张丹芬 凌冬兰 覃湘君 王业忠 肖仕印[1] Lei Qingmei;Yan Hongbo;Zhang Danfen;Ling Donglan;Qin Xiangjun;Wang Yezhong;Xiao Shiyin(Department of Neurosurgery,the Second Affiliated Hospital of Guangzhou Medical University,Guangzhou 510260,China;Department of Nursing,the Second Affiliated Hospital of Guangzhou Medical University,Guangzhou 510260,China;Departemnt of Intensive Care Unit,the Second Affiliated Hospital of Guangzhou Medical University,Guangzhou 510260,China)

机构地区：[1]广州医科大学附属第二医院神经外科,广州510260 [2]广州医科大学附属第二医院护理部,广州510260 [3]广州医科大学附属第二医院重症监护室,广州510260

出　　处：《中华现代护理杂志》2021年第34期4662-4667,共6页Chinese Journal of Modern Nursing

基　　金：广州医科大学附属第二医院护理循证基金立项(B202003)。

摘　　要：目的对成年住院患者手术部位感染预防相关实践指南进行质量评价,为制订成人手术部位感染预防方案提供参考。方法计算机系统检索国内外数据库、指南网站和专业学会网站公开发表的成人手术部位感染预防相关实践指南,检索时限为建库至2020年6月2日。采用临床指南研究与评估工具(Appraisal of Guidelines for Research&EvaluationⅡ,AGREEⅡ)对纳入指南进行方法学质量评价,采用组内相关系数检验评价者间的一致性。结果共纳入6篇临床实践指南,总体质量评价为A级4篇,B级2篇。AGREEⅡ6个领域平均标准化得分:范围和目的为87.04%,参与人员为76.62%,严谨性为76.56%,清晰性为89.58%,适用性为81.60%,独立性为81.25%。结论现有的成人手术部位感染预防相关的临床实践指南内容较为全面,总体质量相对较好。护理人员需要考虑证据应用的适用性,制订切实可行的感染预防策略,以降低成人手术部位感染的发生率。Objective To evaluate the quality of relevant practice guidelines for the prevention of surgical site infections in adult inpatients and provide a reference for formulating protocols to prevent surgical site infections in adults.Methods Practice guidelines related to the prevention of surgical site infections in adults published up to June 2,2020 were retrieved from domestic and foreign databases,guideline websites and the websites of professional societies.The Appraisal of Guidelines for Research and EvaluationⅡ(AGREEⅡ)was used to evaluate the methodological quality of the included guidelines,and the intra-group correlation coefficient was used to test the consistency between the reviewers.Results A total of 6 clinical practice guidelines were included,and in terms of the quality,there were 4 grade A guidelines and 2 grade B guidelines.The average standardized scores of AGREEⅡin 6 dimensions were:87.04%for scope and purpose,76.62%for stakeholder involvement,76.56%for rigor of development,89.58%for clarity of presentations,81.60%for applicability,and 81.25%for independence.Conclusions The existing clinical practice guidelines related to the prevention of surgical site infections in adults are relatively comprehensive with a relatively good quality.Nursing staff need to consider the applicability of evidence application,formulate practical infection prevention strategies,and reduce the incidence of surgical site infections in adults.

关 键 词：感染 手术部位 成人 指南 质量评价 

分 类 号：R619.3[医药卫生—外科学]