结直肠手术患者术后早期下床活动的最佳证据总结  

Summary of Best Evidence for Early Postoperative Mobilization in Patients Undergoing Colorectal Surgery

作　　者：罗晨 沈玲[2] 黄楚贤 赵冬琴[3] 张昊 LUO Chen;SHEN Ling;HUANG Chuxian;ZHAO Dongqin;ZHANG Hao(School of Nursing,Shanghai Jiao Tong University,Shanghai 200025,China;Department of General Surgery,Xinhua Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200092,China;Department of Gastrointestinal Surgery,The First Affiliated Hospital of Chongqing Medical University,Chongqing 400042,China;School of Nursing,Fudan University,Shanghai 200032,China)

机构地区：[1]上海交通大学护理学院,上海200025 [2]上海交通大学医学院附属新华医院普外科,上海200092 [3]重庆医科大学附属第一医院胃肠外科,重庆400042 [4]复旦大学护理学院,上海200032

出　　处：《军事护理》2022年第12期66-69,共4页MILITARY NURSING

基　　金：上海交通大学医学院附属新华医院护理亚专科建设(XHHLZKJS2018-08)。

摘　　要：目的整合结直肠手术患者术后早期下床活动的最佳证据,为制定术后早期下床活动方案提供参考。方法系统检索国内外数据库和专业网站中关于结直肠手术患者术后早期下床活动的指南、专家共识、最佳实践手册、系统评价等,检索时间为建库至2021年11月30日。结果共纳入14篇文献,共提取24条证据,包括健康教育、活动环境、评估、制定计划、下床活动前准备、活动内容、活动中的监护、预期结果等8个类别。结论结直肠手术患者术后早期下床活动是安全、可行、有效的,建议医护人员结合临床情景,有针对性地参考和使用证据。Objective To integrate best evidence for early postoperative mobilization in patients undergoing colorectal surgery and to provide reference for making scientific early postoperative ambulation program.Methods Domestic and foreign databases and professional websites were systematically searched for guidelines,expert consensus,recommended practices,systematic reviews on early mobilization after colorectal surgery.The time range was from the inception to November 30st of 2021.Results A total of 14 literatures were included and 24 pieces of evidence were extracted,including 8 categories,such as health education,activity environment,assessment,planning,preparation before getting out of bed,activity content,supervision during activities and expected results.Conclusions Early mobilization is safe,feasible and effective for patients after colorectal surgery.It is suggested that medical staff refer to and use the evidences according to the clinical situation and actual tolerance of patients.

关 键 词：结直肠手术 早期活动 加速康复外科 循证护理 

分 类 号：R47[医药卫生—护理学]