膀胱灌注全流程管理的最佳证据总结  

Summary of the best evidence for management of the whole course of bladder perfusion

作　　者：钟美浓 李月平 方蘅英[3] 杜芊芊 陈桂丽[4] 朱远强 张美芬[1] Zhong Meinong;Li Yueping;Fang Hengying;Du Qianqian;Chen Guili;Zhu Yuanqiang;Zhang Meifen(School of Nursing,Sun Yat-sen University,Guangzhou 510080,China)

机构地区：[1]中山大学护理学院,广东广州510080 [2]中山大学附属第三医院肇庆医院外科 [3]中山大学附属第三医院护理部 [4]中山大学附属第三医院泌尿外科

出　　处：《护理学杂志》2023年第22期38-42,共5页Journal of Nursing Science

基　　金：中山大学附属第三医院护理科研基金资助项目(2022HLMS09)。

摘　　要：目的 检索、评价和总结膀胱灌注全流程最佳证据,为临床实施膀胱灌注护理实践提供循证依据。方法 依据“6S”证据模型,检索有关中英文数据库、指南网站及专业学会网站,纳入2017年1月至2022年12月涉及膀胱灌注流程护理与管理的所有证据,包括临床实践指南、系统评价、证据总结、临床决策、专家共识及随机临床对照试验。由2名硕士研究生对最终纳入文献所提取的证据进行标准化整合及汇总。结果 共纳入文献8篇,其中指南4篇,专家共识2篇,随机临床对照试验研究2篇。总结了28条最佳证据,包括药物配制、职业暴露防护、灌注流程管理、灌注后排泄管理、不良反应与并发症管理、延续性护理管理6个方面。结论 膀胱灌注全流程管理的最佳证据可为临床护理实践提供循证依据,应用证据时,应结合实际情况选择性地制定切实可行的管理方案。Objective To retrieve,evaluate and summarize the best evidence of the whole process of bladder perfusion,so as to provide evidence-based evidence for the clinical implementation of bladder perfusion nursing practice.Methods According to the"6S"evidence model,relevant Chinese and English databases,guideline websites and professional society websites were searched to collect clinical practice guidelines,systematic reviews,evidence summary,clinical decision-making,expert consensus and randomized controlled clinical trials related to the nursing and management of the bladder perfusion process from January 2017 to December 2022.Two graduate students did the standardized integration and summary of the extracted evidence.Results A total of 8 articles were involved,including 4 guidelines,2 expert consensus articles,and 2 randomized controlled clinical trials.Totally 28 pieces of best evidence about drug configuration,occupational exposure protection,perfusion process management,post-perfusion excretion management,adverse reactions and complications management,and continuous care management were summarized.Conclusion The best evidence summarized for the whole process management of bladder perfusion can provide evidence-based basis for clinical nursing practice,and practical management plans should be selectively formulated according to the actual situation when applying the evidence.

关 键 词：膀胱灌注 药物配制 职业暴露 流程管理 并发症 延续性护理 证据总结 循证护理 

分 类 号：R473.6[医药卫生—护理学]