外科结直肠术后病人加速康复外科出院标准的最佳证据总结  

Best evidence summary of enhanced recovery after surgery discharge criteria for patients after colorectal surgery

作　　者：曹秋君 虞正红[1] 齐碧蓉 孙懿 吴燕[1] CAO Qiujun;YU Zhenghong;QI Birong;SUN Yi;WU Yan(Zhongshan Hospital,Fudan University,Shanghai 200032 China)

机构地区：[1]复旦大学附属中山医院,上海200032

出　　处：《护理研究》2021年第24期4383-4389,共7页Chinese Nursing Research

基　　金：复旦大学-复星护理科研基金立项项目,编号:FNF202010。

摘　　要：目的:总结、评价结直肠术后病人加速康复外科出院标准的最佳证据,为临床实践提供参考。方法:计算机检索BMJ Best Practice、Up To Date、Canadian Anesthesiologists’Society官网、American Society of Anesthesiologists Committee官网、European Society of Anesthesiology官网、Joanna Briggs Institute Library、Cochrane Library、Pub Med、EMbase、中国生物医学文献服务系统(CBM)、中国期刊全文数据库(CNKI)、万方数据库资源系统中的临床决策、指南、证据总结、最佳实践信息册、系统评价、系统综述、专家共识,对文献质量进行评价和资料提取,对符合质量标准的文献进行证据提取。结果:形成了包括出院时间、口服耐受性、肠道功能恢复、疼痛控制、活动与自理能力、临床检查、实验室检查、病人意愿、并发症风险和出院评估工具10个主题、16条最佳证据。结论:建议将口服耐受性、疼痛控制和充分活动、下消化道功能恢复、活动和自理能力、临床检查正常及相关实验室检查合格作为结直肠术后病人加速康复外科的出院标准。Objective:To summarize and assess the best evidence of discharge criteria of enhanced recovery for patient after colorectal surgery and to provide reference for clinical practice.Methods:We searched the evidence in domestic and foreign databases to collect literatures including clinical decision,guideline(BPG),evidence summary(ES),best practice information sheet(BPIS),recommend practice(RP)and systematic review(SR).The quality of the literature was evaluated and the data were extracted,and the evidence was extracted from the literature that met the quality standards.Results:5 articles were enrolled,including 1 clinical decision,2 guidelines and 2 evidence summary.Finally 16 items of best evidence were synthesized into 10 categories including time of discharge,tolerance of oral intake,recovery of lower gastrointestinal function,adequate pain control with oral analgesia,ability to mobilize and self-care,clinical examination and laboratory tests and so on.Conclusions:It is suggested that tolerance of oral intake,recovery of lower gastrointestinal function,adequate pain control with oral analgesia,ability to mobilize and self-care,clinical examination and laboratory tests should be taken as the discharge criteria of patients after colorectal surgery.

关 键 词：肠道手术 出院标准 加速康复 最佳证据 循证护理 加速康复外科 

分 类 号：R473.6[医药卫生—护理学]