眼科成人日间手术患者病区护理管理的最佳证据总结  

Nursing management of ophthalmic postoperative adult intra-day ward:a systemic review

作　　者：杨娟[1] 李牧玲 黄清辉[1] 李春梅[1] 黄东梅[1] 周宏珍[1] YANG Juan;LI Muling;HUANG Qinghui;LI Chunmei;HUANG Dongmei;ZHOU Hongzhen(Southern Medical University Southern Hospital,Guangzhou 510515,China)

机构地区：[1]南方医科大学南方医院,广州510515

出　　处：《眼科学报》2023年第8期571-579,共9页Eye Science

基　　金：广东省医学科研基金(B2022078)。

摘　　要：目的:评价并汇总眼科成人日间手术患者病区护理管理的最佳证据,提高临床护理质量。方法:检索国内外数据库建库至2022年6月的日间手术患者病区护理管理的相关证据,包括系统评价、临床决策、证据总结、指南及专家共识。由2名研究人员独立对文献进行质量评价后,根据主题对证据进行提取和汇总。结果:根据纳入标准,共筛选出13篇文献,包括5篇专家共识、3篇证据总结、1篇循证实践、2篇系统评价、1篇指南。通过文献阅读、证据提取和归类,从日间手术护士准入资质、制定临床护理路径、院前管理、病历标准化、手术当日术前管理、术后管理、出院评估、康复及随访指导8个方面形成17条最佳证据。结论:该项目总结了眼科成人日间手术患者病区护理管理的最佳证据,可为护理管理者制定眼科日间手术病区流程方案、实践标准提供循证依据。Objective:To evaluate and summarize the evidences of nursing management of ophthalmic postoperative adult patients intra-day ward,and improve the quality of clinical nursing.Methods:The related databases were searched from the establishment to June 2022.The searching contents include systematic review,clinical decision-making,evidence summary,guidelines and expert consensus on nursing management in postoperative patients intra-day wards at home and aboard.Based on the theme,the evidences were extracted and summarized after independent literature quality evaluation was conducted by 2 researchers.Results:Base on the inclusion criteria,a total of 13 pieces of literature were selected,including 5 expert consensus,3 evidence summaries,1 evidence-based practice,2 systematic reviews and 1 guideline.Through literature review,evidence extraction and classification,a total of 17 pieces of evidence on 8 aspects were summarized,including admission qualifications for daytime surgical nurses,development of clinical nursing path,pre-hospital management,medical record standardization,preoperative management on the day of surgery,postoperative management,discharge assessment,rehabilitation and follow-up guidance.Conclusion:This article summarized the best evidence of nursing management for ophthalmic adult day surgery patients in intra-day ward,to provide scientific evidences for nursing managers to develop ophthalmic intra-day ward guidelines and practical standards.

关 键 词：眼科 日间手术 病区管理 护理 证据总结 

分 类 号：R473.77[医药卫生—护理学]