急性心肌梗死PCI术后病人便秘预防与管理的最佳证据总结  

Summary of the best evidence for the prevention and management of constipation in patients with acute myocardial infarction after PCI

作　　者：徐冰仙[1] 王倩怡 吴蕾[1] 闻尧娟 徐亚楠[1] XU Bingxian;WANG Qianyi;WU Lei;WEN Yaojuan;XU Yanan(Jiangyin People′s Hospital,Jiangsu 214400 China)

机构地区：[1]江阴市人民医院,江苏214400

出　　处：《循证护理》2024年第21期3813-3819,共7页Chinese Evidence-Based Nursing

基　　金：江阴市卫生健康委员会面上科研项目,编号:M202202。

摘　　要：目的:检索并总结国内外急性心肌梗死(AMI)病人经皮冠状动脉介入治疗(PCI)术后便秘预防与管理的相关证据,为临床实践提供依据。方法:根据“6S”模型系统检索国内外数据库及相关专业网站,检索时限为2018年1月1日—2023年5月31日,文献类型包括临床决策、推荐实践、指南、专家共识、系统评价、证据总结等,对文献进行质量评价,提取证据并进行总结。结果:共纳入16篇文献,包括4篇指南、3篇专家共识、1篇推荐实践、1篇临床决策、7篇随机对照试验研究。提取包括专业护理团队、评估时机和内容、基础管理、药物护理及中医护理技术5个方面,共38条最佳证据。结论:本研究汇总了急性心肌梗死PCI术后病人便秘预防和管理的最佳证据,医护人员可结合具体临床情境有针对性地选择、应用证据,减少便秘和心脏不良事件的发生。Objective:To retrieve and summarize the relevant evidence for the prevention and management of constipation in patients with acute myocardial infarction(AMI)after percutaneous coronary intervention(PCI)in China and abroad,in order to provide a basis for clinical practice.Methods:According to the"6S"model,literature included clinical decision-making,recommended practice,guidelines,expert consensus,systematic review,and evidence summary was systematically retrieved from domestic and foreign databases and related professional websites from January 1,2018 to May 31,2023.The quality of the literature was evaluated,and the evidence was extracted and summarized.Results:A total of 16 documents were included,including 4 guidelines,3 expert consensus,1 recommended practice,1 clinical decision-making,and 7 randomized controlled trial(RCT).A total of 38 pieces of best evidence were extracted from 5 aspects:professional nursing team,evaluation timing and content,basic management,drug care,and traditional Chinese medicine nursing technology.Conclusions:This study summarizes the best evidence for the prevention and management of constipation in AMI patients after PCI.Medical staff can select and apply evidence in a targeted manner based on specific clinical situations to reduce the occurrence of constipation and adverse cardiac events.

关 键 词：急性心肌梗死 经皮冠状动脉介入治疗 便秘 管理 预防 循证护理 证据总结 

分 类 号：R473.5[医药卫生—护理学]