成人择期手术患者全身麻醉健康教育的最佳证据总结  

Summary of best evidence for general anesthesia health education in adult patients undergoing selective surgery

作　　者：刘幸 马涛洪[2] 王亚莉 冯可欣 张利帆 李佩佩 Liu Xing;Ma Taohong;Wang Yali;Feng Kexin;Zhang Lifan;Li Peipei(School of Nursing,Shanxi Medical University,Taiyuan 030001,China;Surgical Supply Room,the First Hospital of Shanxi Medical University,Taiyuan 030001,China;Department of Infectious Diseases,the First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,China)

机构地区：[1]山西医科大学护理学院,太原030001 [2]山西医科大学第一医院手术供应室,太原030001 [3]西安交通大学第一附属医院感染科,西安710061

出　　处：《中华现代护理杂志》2024年第10期1329-1335,共7页Chinese Journal of Modern Nursing

摘　　要：目的检索、评价并整合成人择期手术患者全身麻醉健康教育的最佳证据,为临床健康教育指导提供依据。方法根据PIPOST模式确立循证问题,检索Cochrane Library、BMJ Best Practice、UpToDate、美国国立指南库、国际指南协作网、英国国家卫生与临床优化研究所、临床指南库、PubMed、中国知网、万方数据库、医脉通、美国麻醉医师协会、中华医学会麻醉学分会等数据库或专业学会中有关成人择期手术患者全身麻醉健康教育的所有证据。检索时限为建库至2023年6月18日。由2名研究者对纳入的文献进行筛选、质量评价,并对证据进行提取、整合,形成成人择期手术患者全身麻醉健康教育最佳证据。结果共纳入文献10篇,包括4篇指南、3篇临床决策、3篇专家共识。提取出成人择期手术患者全身麻醉健康教育的证据41条,包括麻醉概述、麻醉前评估、麻醉前准备、麻醉过程及配合、麻醉恢复期管理、术后管理6个方面。结论本研究总结了成人择期手术患者全身麻醉健康教育的最佳证据,能够为麻醉健康教育者进行全面、系统的教育提供依据。Objective To retrieve,evaluate,and integrate the best evidence of general anesthesia health education for adult patients undergoing elective surgery,so as to provide a basis for clinical health education guidance.Methods Evidence-based questions were established based on the population,intervention,professional,outcome,setting and type of evidence(PIPOST)model.All evidence on general anesthesia health education for adult patients undergoing elective surgery were retrieved from databases or professional association websites such as Cochrane Library,British Medical Journal(BMJ)Best Practice,UpToDate,Agency for Healthcare Research and Quality,Guidelines International Network,National Institute for Health and Clinical Excellence,Clinical Guidelines Library,PubMed,China National Knowledge Infrastructure,WanFang Data,Medlive,American Society of Anesthesiologists,and Society of Anesthesiology of the Chinese Medical Association.The search period was from database establishment to June 18,2023.Two researchers screened and evaluated the quality of the included literature,extracted and integrated the evidence to form the best evidence for general anesthesia health education in adult patients undergoing selective surgery.Results A total of 10 articles were included,including four guidelines,three clinical decision-making,and three expert consensus.A total of 41 pieces of evidence on general anesthesia health education for adult patients undergoing elective surgery were extracted,including six aspects of anesthesia overview,pre-anesthesia evaluation,pre-anesthesia preparation,anesthesia process and cooperation,anesthesia recovery period management,and postoperative management.Conclusions The best evidence of general anesthesia health education for adult patients undergoing selective surgery summarized can provide a basis for comprehensive and systematic education of anesthesia health educators.

关 键 词：成年人 全身麻醉 健康教育 证据总结 循证护理 

分 类 号：R473.6[医药卫生—护理学]