实体器官移植受者出院健康教育相关指南的质量评价  

Quality evaluation of health education guidelines for discharged recipients with solid organ transplantation

作　　者：孙菁[1] 胡树菁 杨东霞[1] 齐星宇 赵学敏 刘红霞[3] Sun Jing;Hu Shujing;Yang Dongxia;Qi Xingyu;Zhao Xuemin;Liu Hongxia(Lung Transplantation Department,China-Japan Friendship Hospital,Beijing 100029,China;Nursing Department,China-Japan Friendship Hospital,Beijing 100029,China;School of Nursing,Beijing University of Chinese Medicine,Beijing 102488,China)

机构地区：[1]中日友好医院肺移植科,北京100029 [2]中日友好医院护理部,北京100029 [3]北京中医药大学护理学院,北京102488

出　　处：《中华现代护理杂志》2023年第4期445-453,共9页Chinese Journal of Modern Nursing

摘　　要：目的评价国内外实体器官移植受者出院健康教育相关的指南,分析各指南的特点,为国内开展器官移植健康教育提供参考。方法本文为指南质量评价研究。计算机检索国内外临床实践指南网站、移植专业协会网站以及中英文数据库中实体器官移植受者出院健康教育相关的指南,检索时限为2011年1月1日—2022年1月1日。采用指南研究与评价工具Ⅱ(AGREEⅡ)对符合纳入、排除标准的指南进行质量评价。结果最终纳入8篇指南。指南总体质量评价为A级2篇,B级6篇;质量评价6个领域的标准化得分方面,范围和目的均值为87.62%(70.37%~100.00%),参与人员均值为75.46%(44.44%~97.22%),严谨性均值为66.54%(43.75%~93.06%),清晰性均值为90.16%(77.78%~96.30%),应用性均值为48.18%(20.83%~68.75%),编辑的独立性为74.13%(8.30%~97.22%)。指南推荐意见涉及团队组成与支持服务、药物管理、感染预防、并发症管理、饮食与营养、日常生活与重返社会、避孕与生殖、心理指导、随访复查9个方面。结论不同实体器官移植类型的指南发展程度不一,指南的总体质量有待提高,内容有待细化。未来可借鉴国外质量较高的指南进行本土化实践,尽快构建出适合我国国情的实体器官移植出院健康教育相关指南。Objective To evaluate the guidelines on discharged health education for solid organ transplant recipients at home and abroad,analyze the characteristics of each guideline,so as to provide reference for the development of health education for organ transplantation in China.Methods This was a guideline quality evaluation study.The guidelines on health education for discharged recipients with solid organ transplantation were searched on the websites of clinical practice guidelines,the websites of transplantation professional associations,and Chinese and English databases at home and abroad through computers.The search time limit was from January 1,2011 to January 1,2022.The quality of guidelines that met the inclusion and exclusion criteria was evaluated using the Appraisal of Guidelines for Research and EvaluationⅡ(AGREEⅡ).Results A total of 8 guidelines were included.The overall quality evaluation of the guideline was Grade A(n=2)and Grade B(n=6).In terms of standardized scores in six areas of quality evaluation,the average values of scope and purpose,stakeholder involvement,rigour of development,clarity and presentation,applicability as well as editorial independence were 87.62%(70.37%-100.00%),75.46%(44.44%-97.22%),66.54%(43.75%-93.06%),90.16%(77.78%-96.30%),48.18%(20.83%-68.75%)and 74.13%(8.30%-97.22%),respectively.The recommendations of the guidelines covered 9 aspects:team composition and support services,drug management,infection prevention,complication management,diet and nutrition,daily life and social reintegration,contraception and reproduction,psychological guidance and follow-up review.Conclusions The development of guidelines for different types of solid organ transplantation varies.The overall quality of the guidelines needs to be improved and the content needs to be refined.In the future,we can learn from foreign high-quality guidelines to carry out localization practice,so as to build a health education related guideline for discharge of solid organ transplantation that is suitable for China's

关 键 词：器官移植 指南 质量评价 健康教育 出院 循证护理 

分 类 号：R473.6[医药卫生—护理学]