临时性肠造口患者健康教育的最佳证据总结  

Summary of the best evidence on health education for patients with temporary enterostomies

作　　者：李丹阳 庄嘉元[1] 林华燕[2] 林娜[2] 朱芮 王艳 LI Danyang;ZHUANG Jiayuan;LIN Huayan;LIN Na;ZHU Rui;WANG Yan

机构地区：[1]福建医科大学护理学院,福州市350000 [2]福建医科大学附属第一医院胃肠外科

出　　处：《中华护理杂志》2024年第12期1454-1461,共8页Chinese Journal of Nursing

基　　金：福建省2022年本科高校教育教学改革研究重点项目(FBJG20220067);2022年福建医科大学附属第一医院护理专项创新研究项目(2022FY-HZ-28)。

摘　　要：目的系统检索、汇总临时性肠造口患者健康教育的高质量循证证据,为临床实践提供循证依据。方法计算机检索UpToDate、BMJ Best Practice、美国卫生健康研究与质量管理署网站、英国国家卫生与临床优化研究所网站、加拿大安大略省注册护士协会网站、医脉通、世界造口治疗师协会网站、美国造口协会联盟网站、加拿大伤口造口失禁专科护士协会网站、澳大利亚国家卫生和医学研究委员会网站、中华护理学会网站、中国知网、万方数据库、维普数据库、中国生物医学文献数据库、PubMed、Web of Science、CINAHL、澳大利亚乔安娜布里格斯研究所循证卫生保健中心数据库、Cochrane协作网数据库中与临时性肠造口患者健康教育相关的证据,包括临床决策、指南、专家共识、证据总结和系统评价。检索时限为2013年1月1日—2023年8月1日。2名经过系统循证知识培训的研究者根据纳入和排除标准,独立进行文献筛选、质量评价、提取和汇总证据。结果共纳入文献16篇,其中包含指南5篇、临床决策2篇、证据总结4篇、系统评价2篇、专家共识2篇、团体标准1篇。从健康教育者资质、健康教育对象、健康教育时机、健康教育方式与评价指标、术前健康教育、术后健康教育、居家随访管理7个方面汇总了24条最佳证据。结论该研究总结的临时性肠造口患者健康教育的最佳证据具有一定科学性和实用性,为医护人员实施临时性肠造口患者的健康教育提供了循证依据。Objective To systematically retrieve and summarize high-quality evidence on health education for patients with temporary enterostomies to provide an evidence-based basis for clinical practice.Methods We searched UpToDate,BMJ Best Practice,AHRQ,NICE,RNAO,MEDLIVE,WCET,UOAA,NSWOCC,NHMRC,CNA,CNKI,Wanfang,VIP,CBM,PubMed,Web of Science,CINAHL,JBI,and Cochrane Collaboration databases of evidence related to health education for patients with temporary enterostomies,including clinical decisions,guidelines,expert consensuses,evidence summaries,and systematic reviews.The search time limit was from January 1,2013 to August 1,2023.2 researchers who were trained in systematic evidence-based knowledge independently conducted literature screening,quality assessment,extraction and summarization of evidence based on inclusion and exclusion criteria.Results A total of 16 articles were included,including 5 guidelines,2 clinical decisions,4 evidence summaries,2 systematic reviews,2 expert consensuses,and 1 standard.The 24 pieces of the best evidences were summarized in 7 aspects:qualification of health educators,subjects of health education,opportunity of health education,mode and evaluation index of health education,preoperative health education,postoperative health education and home follow-up management.Conclusion The best evidence of health education for patients with temporary enterostomies summarized in this study is scientific and practical,providing evidence-based basis for healthcare professionals to implement health education for patients with temporary enterostomies.

关 键 词：临时性肠造口 健康教育 证据总结 循证护理学 

分 类 号：R473.73[医药卫生—护理学]