肥胖代谢外科个案管理术前临床路径中国专家共识(2023版)  

Chinese expert consensus on case management of preoperative clinical pathways of bariatric and metabolic surgery(2023 edition)

作　　者：中国医师协会外科医师分会肥胖和糖尿病外科医师委员会 中国肥胖代谢外科研究协作组 陈笑梅 李春群 杨华[2] 王海帆[4] 杨宁琍 张晓微 苏志红 姚琳[8] 赵玉会 张萌[10] Chinese Society for Metabolic and Bariatric Surgery;Chinese Obesity and Metabolic Surgery Collaborative;Yang Hua;Wang Haifan;Chen Xiaomei(不详;Department of Bariatric and Metabolic Surgery,Bariatric Center,the First Affiliated Hospital of Jinan University,Guangzhou 510630,China;Teaching and Research Section of Nursing,Nursing College,Guangdong Food and Drug Vocational College,Guangzhou 510520 China)

机构地区：[1]不详 [2]暨南大学附属第一医院肥胖代谢外科、减重中心,广州510630 [3]暨南大学附属第一医院 [4]广东食品药品职业学院护理学院护理教研室,广州510520 [5]南京医科大学第一附属医院 [6]中国医科大学附属第四医院 [7]中南大学湘雅三医院 [8]北京中日友好医院 [9]吉林大学中日联谊医院 [10]首都医科大学附属北京友谊医院

出　　处：《中华肥胖与代谢病电子杂志》2023年第2期73-82,共10页Chinese Journal Of Obesity and Metabolic Diseases：Electronic Edition

摘　　要：目的该专家共识旨在促进肥胖代谢外科学科建设与发展,使术前个案管理更加规范,为术前临床路径提供参考。方法由来自全国33家医院或院校具有丰富肥胖代谢外科个案管理、医疗和护理管理经验的专家组成编审委员会。对6位具有>3年肥胖代谢外科个案管理经验的专家进行访谈,执笔专家形成初稿后对6位专家以函审形式完成第1轮论证。在此基础上,邀请40位相关领域专家对修改稿以函审形式完成第2轮论证。根据第2轮专家意见进一步修改后,由编审委员会顾问进行网络会议研讨,完成第3轮论证,经修订后形成终定稿。结果该专家共识包括患者入院前(院前咨询告知内容、院前健康宣传教育及干预、院前床位预约)和入院后(资料收集及入院介绍、检查和检验管理、临床照护)的个案管理内容,并制作临床路径范本文件。结论该专家共识可为肥胖代谢外科个案管理术前临床路径提供参考依据。后续将在进一步总结经验、累积循证医学证据后进行定期更新,以更好服务于临床。Objective This expert consensus aims to promote the construction and development of bariatric and metabolic surgery,make preoperative case management more standardized,and provide reference for preoperative clinical nursing work.Methods Experts and scholars from 33 hospitals or universities,who are experienced in case management,medical and nursing treatment of bariatric and metabolic surgery,formulate the expert recommendation committee.Six experts with more than three years of related experience in case management of bariatric and metabolic surgery are interviewed,and the main writers form the first draft of expert recommendations.Then the first round of discussion is completed by the 6 interviewed experts in the form of letter review.On this basis,40 experts in relevant fields are invited to collect modification opinions on the revised expert recommendation in the form of letter review to complete the second round of expert discussion.Finally,consultants of the expert recommendation committee are invited to complete the third round of expert discussion and form the final draft of expert recommendation via online meeting.Results This expert consensus includes case management content for patients before admission(pre-hospital consultation and notification content,pre-hospital health education and intervention,pre-hospital bed reservation)and after admission(data collection and admission introduction,examination and testing management,clinical care),and the preparation of a clinical pathway template document.Conclusions This consensus can provide reference for case management of preoperative clinical pathways of bariatric and metabolic surgery.In the future,regular updates will be made after further summarizing experience and accumulating evidence-based medical evidence to better serve the clinic.

关 键 词：肥胖症 个案管理 临床路径 减重外科 代谢外科 专家共识 

分 类 号：R47[医药卫生—护理学]