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作 者:徐博[1] 盖琼艳 徐秋宁 卢山 傅巧美[1] 李萍[1] 邢星敏 陈璐[1] XU Bo;GAI Qiongyan;XU Qiuning;LU Shan;FU Qiaomei;LI Ping;XING Xingmin;CHEN Lu(Nanjing Drum Tower Hospital,The Affiliated Hospital of Nanjing University Medical School,Jiangsu 210008 China)
机构地区:[1]南京大学医学院附属鼓楼医院,江苏210008
出 处:《循证护理》2023年第4期616-620,共5页Chinese Evidence-Based Nursing
基 金:2022年度南京鼓楼医院护理科研立项重点项目,编号:2022-B1854;2022年度鼓楼医院临床研究专项资金面上项目,编号:2022-LCYJ-MS-10。
摘 要:目的:检索、评价和汇总前列腺癌根治术后病人留置尿管出院计划的护理最佳证据,为临床护理工作提供参考。方法:计算机检索BMJ最佳临床实践、Up To Date临床决策系统、加拿大安大略省注册护士协会网(RNAO)、英国国家卫生与临床优化研究所(NICE)、苏格兰院际间指南网(SIGN)、澳大利亚Joanna Briggs Institute(JBI)循证卫生保健数据库、the Cochrane Library等循证资源数据库,PubMed、中国生物医学文献数据库等综合数据库以及美国泌尿外科学会(AUA)、欧洲泌尿外科学会(EAU)、加拿大泌尿外科学会(CUA)网站关于前列腺癌根治术后病人留置尿管出院计划高级别证据。检索时限从建库至2021年5月。结果:共纳入9篇文献,包括临床决策1篇,临床指南3篇,专家共识3篇,证据总结2篇,最终获取14条最佳证据。结论:临床护理人员应遵循前列腺癌根治术后病人留置尿管出院计划最佳证据,并规范应用证据,最终降低病人留置尿管并发症发生率,提高病人留置尿管护理知识技能掌握率。Objective:To search,evaluate and summarize the best nursing evidence of the discharge plan of patients with indwelling catheter after radical prostatectomy,so as to provide reference for clinical nursing work.Methods:High-level evidence on the discharge plan of patients with indwelling catheter after radical prostatectomy was searched from the best clinical practice of BMJ,Up To Date clinical decision system,RNAO,NICE,SIGN,JBI evidence-based health care database,the Cochrane Library and other evidence-based resource databases,PubMed,CBM and other comprehensive databases,as well as AUA,EUA,AUA website.The retrieval time was from inception to May 2021.Results:A total of 9 articles were included,including 1 clinical decision,3 clinical guidelines,3 expert consensus,and 2 evidence summaries.Finally,14 pieces of best evidence were obtained.Conclusion:The clinical nursing staff should follow the best evidence of the discharge plan of patients with indwelling catheter after radical prostatectomy,and standardize the application of the evidence,ultimately reduce the incidence of complications of patients with indwelling catheter,and improve the mastery rate of nursing knowledge and skills of patients with indwelling catheter.
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