改善肠造口患者社会疏离的最佳证据总结  

Summary of the Best Evidence for Improving Social Isolation in Patients with Colostomy

作　　者：陈心怡 王春梅 汤雨佳 王天秀 王婉萍 方方[3] CHEN Xinyi;WANG Chunmei;TANG Yujia;WANG Tianxiu;WANG Wanping;FANG Fang(School of Nursing,Yangzhou University,Yangzhou 225009,Jiangsu Province,China;Department of Gastrointestinal Surgery,Northern Jiangsu People’s Hospital,Yangzhou 225001,Jiangsu Province,China;Department of Nursing,Northern Jiangsu People’s Hospital)

机构地区：[1]扬州大学护理学院,江苏扬州225009 [2]江苏省苏北人民医院胃肠外科,江苏扬州225001 [3]江苏省苏北人民医院护理部

出　　处：《军事护理》2025年第2期108-111,116,共5页MILITARY NURSING

基　　金：江苏省卫健委科研项目(ZD2022047);江苏省人兽共患病学重点实验室“护馨基金”项目(HX2211)。

摘　　要：目的 整合有关改善肠造口患者社会疏离的最佳证据,为临床实践提供依据。方法 依据金字塔“6S”证据模型,系统检索国内外指南网、专业网站和数据库中有关改善肠造口患者社会疏离的证据,检索时限为建库至2024年8月。经循证培训的多名研究者独立对文献评价并提取证据。结果 共纳入14篇文献,其中临床决策1篇、指南6篇、证据总结4篇、专家共识1篇、Meta 1篇、随机对照研究1篇,从筛查与评估、多学科团队管理、准确造口定位、造口知识指导、造口技能培训、延续性护理、效果评价7个方面,共总结出26条证据。结论 总结的肠造口患者社会疏离最佳证据兼具科学性和实用性,能为医护人员实施针对性措施提供有益指导。Objective To integrate the best evidence on improving social alienation of enterostomy patients,and to provide a basis for clinical practice.Methods According to the pyramid“6S”evidence model,the evidence on improving social alienation of enterostomy patients was systematically searched in guidelines networks,websites of professional societies and databases at home and abroad.The search time limit was from the inceptions to August 2024.Multiple researchers with evidence-based training independently evaluated the included literature and extracted evidence.Results A total of 14 articles were included,with 1 clinical decision,6 guidelines,4 evidence summaries,1 expert consensus,1 Meta,and 1 randomized controlled study.A total of 26 pieces of evidence were concluded from 7 aspects of screening and evaluation,multidisciplinary team management,accurate stoma positioning,ostomy knowledge guidance,ostomy skill training,transitional care,and effect evaluation.Conclusions The best evidence summarized is scientific and practical,which can provide useful guidance for medical staff to implement targeted measures.

关 键 词：肠造口 社会疏离 证据总结 

分 类 号：R47-05[医药卫生—护理学] R471[医药卫生—临床医学]