妇科加速康复外科方案结局指标的范围综述  

Outcomes to gynecological Enhanced Recovery After Surgery protocol:a scoping review

作　　者：刘晓夏 葛莉娜[1] 叶慧慧 李梦娜 胡双 LIU Xiaoxia;GE Lina;YE Huihui;LI Mengna;HU Shuang(The First Gynecological Ward,Shengjing Hospital Affiliated to China Medical University,Shenyang,110004,China)

机构地区：[1]中国医科大学附属盛京医院第一妇科病房,沈阳市110004

出　　处：《中国护理管理》2022年第12期1893-1898,共6页Chinese Nursing Management

基　　金：辽宁省教育厅2021年度科学研究面上项目(LJKR0279)。

摘　　要：目的:通过对妇科加速康复外科(ERAS)方案相关研究的文献回顾,明确妇科ERAS方案的文献分布、结局指标及其评价内容应用情况。方法:聚焦妇科ERAS方案相关结局指标,系统检索数据库。提取内容包括文献来源、研究类型、国家、年份、研究对象、结局指标、评价时机、评价内容和收集方法等。检索时间为2016年12月15日至2021年12月15日。结果:共纳入93篇文献,归纳结局指标32项;其中患者相关27项,出现频率排名前5位的结局指标分别为并发症发生率、术后胃肠功能恢复情况、患者术后疼痛评分、患者术后活动情况、再入院率;医院相关结局指标5项,最常见为住院时间。结论:医护人员应进一步推广妇科ERAS方案的应用范围,且不仅监测患者相关的结局指标,还应关注照顾者和医院相关的结局指标,同时应选择具有特异性和敏感性的妇科ERAS方案结局指标,促进妇科ERAS方案的完善及有效落实。Objective:To clarify the literature distribution,outcome indicators and the application of evaluation content of the gynecological Enhanced Recovery After Surgery(ERAS)protocol.Methods:Focusing on the outcome indicators for the gynecological ERAS protocol,we systematically searched relevant databases.The extracted contents included:literature characteristics,literature sources,research types,countries,years,research objects,outcome indicators,evaluation timing,evaluation content and collection methods.The search period was from 15,December 2016 to 15,December 2021.Results:A total of 93 articles were included,and 32 outcome indicators were summarized.Among them,there were 27 patient-related items,and the top 5 outcome indicators of high frequency were:complication rate,postoperative gastrointestinal function recovery,postoperative pain score,postoperative activity,and readmission rate.There were 5 hospital-related outcomes,the most common of which was length of stay.Conclusion:The medical staff should further promote the application scope of gynecological ERAS protocol,and at the same time monitor not only patient-related outcome indicators,but also caregivers and hospital-related outcome indicators,and select specific and sensitive gynecological ERAS protocol outcome indicators to promote the improvement and effective implementation of gynecological ERAS protocol.

关 键 词：妇科 加速康复外科 结局指标 范围综述 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学] R713.1