持续膀胱冲洗干预实践在经尿道前列腺电切术后应用的范围综述  

Scoping review of continuous bladder irrigation practice following transurethral resection of the prostate

作　　者：吴竞雄[1] 陈雯雯 方珲晖 朱晨 陆相云[1] Wu Jingxiong;Chen Wenwen;Fang Huihui;Zhu Chen;Lu Xiangyun(Department of Urology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医院泌尿外科,北京100730

出　　处：《中华现代护理杂志》2024年第21期2929-2935,共7页Chinese Journal of Modern Nursing

基　　金：中国医学科学院北京协和医院护理科研课题(XHHLKY202105)。

摘　　要：目的全面、系统地收集国内外持续膀胱冲洗干预实践在经尿道前列腺电切术后应用研究的主题、研究方法、评价手段,为临床护理人员提供参考。方法系统检索9个中英文数据库,中文数据库为中国知网、万方数据库、中国生物医学文献数据库及维普中文科技期刊数据库,英文数据库为Embase、Cochrane Library、PubMed、CINAHL、Web of Science。检索时限为建库至2023年4月10日。提取持续膀胱冲洗干预实践进行系统分析,并采用范围综述的方法对检索结果进行规范化报告。结果纳入23篇符合标准的文献,其中英文文献2篇、中文文献21篇。研究类型包括12篇随机对照试验、11篇类实验研究。现有研究干预措施分为单一干预措施、综合干预措施。具体方法涵盖了调节膀胱冲洗的温度、流速、留置尿管选择、中医护理、围手术期心理护理、快速康复方案等。研究采用的评价指标主要可分为3个层面:症状指标、过程指标,管理指标。结论持续膀胱冲洗干预研究在TURP术后领域已形成一定规模,目前干预手段选择较为丰富,但现阶段仍缺乏更多的高质量证据,建议未来继续加强研究设计,进一步探索构建规范化的膀胱冲洗质量评估工具,改进试验新型冲洗装置,提升临床护理质量。Objective To comprehensively and systematically collect and review domestic and international studies on the practices of continuous bladder irrigation(CBI)following transurethral resection of the prostate(TURP),including the topics,research methods,and evaluation techniques used in these studies,and to provide clinical nursing staff with a reference.Methods Nine Chinese and English databases were systematically searched,including CNKI,Wanfang,SinoMed,VIP,Embase,Cochrane Library,PubMed,CINAHL,and Web of Science.The search covered all literature up to April 10,2023.The practices of CBI were extracted and systematically analyzed,and the results were reported in a standardized manner using a scoping review methodology.Results A total of 23 eligible studies were included,comprising two English articles and 21 Chinese articles.The types of studies included 12 randomized controlled trials and 11 quasi-experimental studies.The interventions were categorized into single and comprehensive measures,including methods such as adjusting the temperature and flow rate of bladder irrigation,selection of indwelling catheters,traditional Chinese medicine-based nursing,perioperative psychological care,and rapid recovery protocols.The evaluation metrics used in the studies were classified into three levels:symptom indicators,process indicators,and management indicators.Conclusions Research on CBI following TURP has achieved a certain scale,with a variety of intervention methods currently available.However,there is still a lack of high-quality evidence.Future studies should focus on enhancing research design,developing standardized quality assessment tools for bladder irrigation,and improving innovative irrigation devices to enhance clinical nursing quality.

关 键 词：经尿道前列腺电切术 持续膀胱冲洗 范围综述 #护理 

分 类 号：R473.6[医药卫生—护理学]