中华护理杂志 ›› 2023, Vol. 58 ›› Issue (16): 2012-2019.DOI: 10.3761/j.issn.0254-1769.2023.16.016
收稿日期:
2022-09-15
出版日期:
2023-08-20
发布日期:
2023-08-14
通讯作者:
肖惠敏,E-mail:huimin_xiao@126.com作者简介:
林丽英:女,本科(硕士在读),E-mail:1474627373@qq.com
LIN Liying(), XIAO Huimin(), FANG Yifang
Received:
2022-09-15
Online:
2023-08-20
Published:
2023-08-14
摘要:
目的 整合结直肠癌造口患者出院计划的最佳证据,为临床实践提供循证依据。 方法 系统检索UpToDate、美国国立指南网、国际指南网、英国国家卫生与临床优化研究所网站、苏格兰校际指南网、新西兰指南研究组、加拿大安大略省注册护士协会网站、加拿大医学会临床实践指南文库、澳大利亚乔安娜布里格斯研究所卫生保健数据库、中国医脉通指南网、世界造口治疗师协会网站、世界伤口造口失禁委员会网站、中华护理学会网站、Cochrane Library、CINAHL、TRIP Database、PubMed、Web of Science、中国知网、中国生物医学文献数据库、万方数据库、维普数据库中有关结直肠癌造口患者出院计划的临床决策、指南、证据总结、系统评价、专家共识和专家意见等证据,检索时限为建库至2022年7月。由2名研究者独立进行文献质量评价和资料提取。 结果 共纳入14篇文献,包括2篇临床决策、3篇指南、5篇系统评价、1篇证据总结、2篇专家共识、1篇专家意见,从筛查与评估、制订计划、执行计划、后续追踪与效果评价5个方面总结22条证据。 结论 该研究针对结直肠癌造口患者出院计划进行证据总结,为建立结直肠癌肠造口患者出院计划规范流程、实践标准提供循证依据。
林丽英, 肖惠敏, 方一芳. 结直肠癌造口患者出院计划的最佳证据总结[J]. 中华护理杂志, 2023, 58(16): 2012-2019.
LIN Liying, XIAO Huimin, FANG Yifang. Best evidence summary of discharge planning for colorectal cancer patients receiving colostomy[J]. Chinese Journal of Nursing, 2023, 58(16): 2012-2019.
图1 文献筛选流程图 注:NGC为美国国立指南网;GIN为国际指南网;NICE为英国国家卫生与临床优化研究所;CMA Infobase为加拿大医学会临床实践指南文库;SIGN为苏格兰校际指南网;NZGG为新西兰指南研究组;JBI为乔安娜布里格斯研究所;RNAO为加拿大安大略省注册护士协会;WCET为世界造口治疗师协会;WOCN为世界伤口造口失禁委员会。
Figure 1 Flow chart of literature screening
表3 结直肠癌造口患者出院计划最佳证据整合与分级
Table 3 Best evidence integration and classification of discharge planning for colorectal cancer patients receiving colostomy
[1] |
Yan MH, Lü L, Zheng MC, et al. Quality of life and its influen-cing factors among Chinese patients with permanent colostomy in the early postoperative stage:a longitudinal study[J]. Cancer Nurs, 2022, 45(1):E153-E161.
DOI URL |
[2] |
Callaghan P, Morrissey J. Social support and health:a review[J]. J Adv Nurs, 1993, 18(2):203-210.
PMID |
[3] |
孙超, 奚桓, 李峥, 等. 老年患者出院准备服务专家共识(2019版)[J]. 中华护理杂志, 2020, 55(2):220-227.
DOI |
Sun C, Xi H, Li Z, et al. Expert consensus on the discharge planning for hospitalized elderly patients(version 2019)[J]. Chin J Nurs, 2020, 55(2):220-227. | |
[4] | Pedersen PU, Ersgard KB, Soerensen TB, et al. Effectiveness of structured planned post discharge support to patients with chronic obstructive pulmonary disease for reducing readmission rates:a systematic review[J]. JBI Database System Rev Imple-ment Rep, 2017, 15(8):2060-2086. |
[5] | Gonçalves-Bradley DC, Lannin NA, Clemson L, et al. Discharge planning from hospital[J]. Cochrane Database Syst Rev, 2022, 2(2):Cd000313. |
[6] | 赵煜华, 王俊霞, 吴田瑞. 肠造口患者出院准备度的研究进展[J]. 护理管理杂志, 2020, 20(11):790-794,808. |
Zhao YH, Wang JX, Wu TR. Progress in discharge preparation for patients with enterostomy[J]. J Nurs Adm, 2020, 20(11):790-794,808. | |
[7] | 苏茜. 集束化延续性护理对预防性肠造口患者健康结局的影响效果研究[D]. 广州: 南方医科大学, 2016. |
Su X. Effect of cluster continuous nursing on health outcomes of patients with preventive enterostomy[D]. Guangzhou: Southern Medical University, 2016. | |
[8] | 胡雁, 郝玉芳. 循证护理学[M]. 2版. 北京: 人民卫生出版社, 2018. |
Hu Y, Hao YF. Evidence-based nursing[M]. 2nd ed. Beijing: People's Medical Publishing House, 2018. | |
[9] | AGREE Next Steps Consortium. The AGREE Ⅱ instrument[EB/OL].(2017-11-30)[2022-10-22]. https://www.agreetrust.org/wpcontent/uploads/2017/12/AGREE-II-Users-Manual-and-23-item-Instrument-2009-Update-2017.pdf. |
[10] | Alper E, O’Malley TA, Greenwald J. Hospital discharge and read-mission[EB/OL].(2022-07-21)[2022-08-23]. https://www.upto-date.cn/contents/zh-Hans/hospital-discharge-and-readmission?se-arch=%E5%87%BA%E9%99%A2&source=search_result&selectedTitle=1-150&usage_type=default&display_rank=1. |
[11] | Burch J. Post-discharge care for patients following stoma for-mation:what the nurse needs to know[J]. Nurs Stand, 2017, 31 (51):41-45. |
[12] | Registered Nurses’ Association of OntarioRNAO. Supporting adults who anticipate or live with an ostomy[EB/OL].(2019-04)[2022-08-23]. https://rnao.ca/sites/rnao-ca/files/bp-g/OSTOMY_FINAL_WEB_Updated_July_5.pdf. |
[13] | Enterostomal Therapy Nurse NetworkETN. Enhanced reco-very after surgery:best practice guideline for the care of pa-tients with a fecal diversion[EB/OL].(2017-01)[2022-08-23]. http://links.lww.com/JWOCN/A36. |
[14] | Colwell JC, Kupsick PT, McNichol LL. Outcome criteria for dis-charging the patient with a new ostomy from home health care:a WOCN society consensus conference[J]. J Wound Os-tomy Continence Nurs, 2016, 43(3):269-273. |
[15] | Francone TD. Overview of surgical ostomy for fecal diversion[EB/OL].(2021-04-06)[2022-10-22]. https://www.uptodate.cn/contents/zh-Hans/overview-of-surgical-ostomy-for-fecal-diversion?search=Overview%20of%20surgical%20ostomy%20for%20fe-cal%20diversion&source=search_result&selectedTitle=1-150&usage_type=default&display_rank=1. |
[16] | Wound,Ostomy,and Continence Nurses Society(WOCN). Dis-charge planning for a patient with a new ostomy:best prac-tice for clinicians[EB/OL].(2014-12-12)[2022-08-23]. https://cdn.ymaws.com/member.wocn.org/resource/resmgr/document_libra-ry/Discharge_Planning_Pt_New_Os.pdf. |
[17] |
汪晖, 王颖, 刘于, 等. 住院患者出院计划关键任务的证据总结[J]. 中华护理杂志, 2020, 55(9):1412-1419.
DOI |
Wang H, Wang Y, Liu Y, et al. Evidence summary for key tasks of discharge planning in hospitalized patients[J]. Chin J Nurs, 2020, 55(9):1412-1419.
DOI |
|
[18] |
Ruel MC, Ramirez Garcia MP, Arbour C. Transition from hos-pital to home after elective colorectal surgery performed in an enhanced recovery program:an integrative review[J]. Nurs Open, 2021, 8(4):1550-1570.
DOI URL |
[19] |
Trindade LF, Boell JEW, Lorenzini E, et al. Effectiveness of care transition strategies for colorectal cancer patients:a systematic review and meta-analysis[J]. Support Care Cancer, 2022, 30(7):6251-6261.
DOI PMID |
[20] |
Nizum N, Jacob G. Systematic review of ostomy care pathways[J]. Adv Skin Wound Care, 2022, 35(5):290-295.
DOI PMID |
[21] |
Jin Y, Tian X, Li Y, et al. Effects of continuous care on health outcomes in patients with stoma:a systematic review and meta-analysis[J]. Asia Pac J Oncol Nurs, 2022, 9(1):21-31.
DOI URL |
[22] |
Colwell JC, Bain KA, Hansen AS, et al. International consensus results:development of practice guidelines for assessment of peristomal body and stoma profiles,patient engagement,and patient follow-up[J]. J Wound Ostomy Continence Nurs, 2019, 46(6):497-504.
DOI PMID |
[23] | National Institute for Health and Care Excellence. Transition between inpatient hospital settings and community or care home settings for adults with social care needs(NG27)[EB/OL].(2015-12)[2022-08-23]. https://www.nice.org.uk/guidance/ng27. |
[24] | Mennuni M, Gulizia MM, Alunni G, et al. ANMCO position pa-per:hospital discharge planning:recommendations and stan-dards[J]. Eur Heart J Suppl, 2017, 19(suppl D):D244-D255. |
[25] |
柯键, 汪晖, 王颖, 等. 住院患者出院计划实践工具的范围综述[J]. 中华护理杂志, 2020, 55(12):1876-1883.
DOI |
Ke J, Wang H, Wang Y, et al. A scoping review of discharge planning practice tools in hospitalized patients[J]. Chin J Nurs, 2020, 55(12):1876-1883.
DOI |
|
[26] | Holland DE, Hemann MA. Standardizing hospital discharge plan-ning at the Mayo Clinic[J]. Jt Comm J Qual Patient Saf, 2011, 37(1):29-36. |
[27] |
Blaylock A, Cason CL. Discharge planning predicting patients’ needs[J]. J Gerontol Nurs, 1992, 18(7):5-10.
PMID |
[28] | 杨艳林, 吕琳, 耿晨, 等. 美国伤口造口失禁专科护士资格认证现状及启示[J]. 中华护理教育, 2021, 18(6):572-576. |
Yang YL, Lü L, Geng C, et al. The certification for the wound,ostomy and continence nurses in America[J]. Chin J Nurs Educ, 2021, 18(6):572-576. | |
[29] |
Rodakowski J, Rocco PB, Ortiz M, et al. Caregiver integration during discharge planning for older adults to reduce resource use:a meta-analysis[J]. J Am Geriatr Soc, 2017, 65(8):1748-1755.
DOI PMID |
[30] | 孙超, 奚桓, 胡慧秀. 出院准备服务在老年患者中的实施研究进展[J]. 中华现代护理杂志, 2020, 26(32):4437-4442. |
Sun C, Xi H, Hu HX. Research progress on the implemen-tation of discharge preparation service in aged patients[J]. Chin J Mod Nurs, 2020, 26(32):4437-4442. | |
[31] |
Carlsson E, Pettersson ME. Communicative and pedagogical stra-tegies in nurses’ and surgeons’ discharge consultations with patients undergoing surgery for colorectal cancer[J]. J Adv Nurs, 2018, 74(12):2840-2850.
DOI PMID |
[32] | 李洲宁, 周莲清, 刘华云, 等. 健康教练教育对预防性肠造口患者自我护理能力的影响[J]. 护理学杂志, 2021, 36(21):69-72. |
Li ZN, Zhou LQ, Liu HY, et al. Effect of health coaching applied in patient education on self-care ability of patients receiving preventive enterostomy[J]. J Nurs Sci, 2021, 36(21):69-72. | |
[33] | Byfield D. The lived experiences of persons with ostomies at-tending a support group:a qualitative study[J]. J Wound Os-tomy Continence Nurs, 2020, 47(5):489-495. |
[34] |
Sultan AA. Overview of psychosocial problems in individuals with stoma:a review of literature[J]. Int Wound J, 2019, 16(1):243-249.
DOI URL |
[35] |
Lumpkin ST, Strassle PD, Fine JP, et al. Early follow-up after colorectal surgery reduces postdischarge emergency depart-ment visits[J]. Dis Colon Rectum, 2020, 63(11):1550-1558.
DOI URL |
[36] | Wennström B, Johansson A, Kalabic S, et al. Patient experience of health and care when undergoing colorectal surgery within the ERAS program[J]. Perioper Med (Lond), 2020, 9:15. |
[37] | 王赛男, 宋玉磊, 翁艳翎, 等. 运用秩和比法评价我国社区护理人力资源配置水平[J]. 护理学杂志, 2020, 35(5):59-62. |
Wang SN, Song YL, Weng YL, et al. Evaluation on allocation of community nursing human resources in China's Mainland based on the rank sum ratio[J]. J Nurs Sci, 2020, 35(5):59-62. | |
[38] |
White T, Watts P, Morris M, et al. Virtual postoperative visits for new ostomates[J]. Comput Inform Nurs, 2019, 37(2):73-79.
DOI PMID |
[39] |
Wang QQ, Zhao J, Huo XR, et al. Effects of a home care mo-bile app on the outcomes of discharged patients with a stoma:a randomised controlled trial[J]. J Clin Nurs, 2018, 27(19/20):3592-3602.
DOI URL |
[40] | 张建锋, 马洪庆, 米阳, 等. 新型冠状病毒肺炎期间肠造口患者居家管理策略[J]. 中华护理杂志, 2020, 55(S1):400-402. |
Zhang JF, Ma HQ, Mi Y, et al. Recommendations for self-management and family nursing for patients after enterostomy during the outbreak of coronavirus disease 2019[J]. Chin J Nurs, 2020, 55(S1):400-402. | |
[41] |
乐霄, 汪晖, 王颖, 等. 出院计划实施质量评价指标的范围综述[J]. 中华护理杂志, 2021, 56(4):611-618.
DOI |
Yue X, Wang H, Wang Y, et al. The quality evaluation indica-tors for discharge planning:a scoping review[J]. Chin J Nurs, 2021, 56(4):611-618. |
[1] | 雒晓燕, 崔仁善, 许秀梅, 崔苗苗, 郭玲茹, 周丹. 基于“互联网+”的护理干预对癌症患者疼痛影响的Meta分析[J]. 中华护理杂志, 2023, 58(9): 1056-1062. |
[2] | 张琦, 陈丽艳, 李媛媛, 张爱华, 杨丽娟. 非创伤性下肢截肢患者生活体验质性研究的Meta整合[J]. 中华护理杂志, 2023, 58(9): 1112-1119. |
[3] | 王利秀, 李建芳, 程红霞, 罗彦, 杨冰香, 刘茜. 造血干细胞移植并发移植物抗宿主病患者皮肤护理的最佳证据总结[J]. 中华护理杂志, 2023, 58(9): 1120-1126. |
[4] | 张若林, 楼妍, 吴婉英, 王春兰, 傅丽英, 周瑶, 洪美容, 徐毓露, 冯欣悦. 癌症患者照顾者角色过渡体验质性研究的Meta整合[J]. 中华护理杂志, 2023, 58(9): 1127-1134. |
[5] | 董永泽, 许秀君, 沈华娟, 周美玲, 贾艳清. 维持性血液透析患者动静脉血管通路穿刺管理的最佳证据总结[J]. 中华护理杂志, 2023, 58(9): 1135-1141. |
[6] | 赵宝生, 李振香, 马超群, 王艳艳, 范桂敏, 李涵, 郑晓丽. 青少年自杀未遂患者心理体验质性研究的Meta整合[J]. 中华护理杂志, 2023, 58(8): 979-985. |
[7] | 孙建华, 罗红波, 李尊柱, 李奇, 李欣, 赵明曦, 马鸿鸣, 井杰, 刘金榜, 崔文博, 张青, 马玉芬, 王小亭. 成人重症患者床旁超声引导鼻肠管置入的证据总结[J]. 中华护理杂志, 2023, 58(8): 986-992. |
[8] | 黄楚贤, 施忠英, 罗晨, 李红艳. 神经性厌食患者饮食行为管理的最佳证据总结[J]. 中华护理杂志, 2023, 58(8): 993-1000. |
[9] | 郭员志, 张红梅, 赵培, 王琦, 李玉环, 王淑芬, 于洋. 乳腺癌术后淋巴水肿预防与护理的循证实践[J]. 中华护理杂志, 2023, 58(7): 773-780. |
[10] | 荆凤, 王园园, 邢唯杰, 徐蕾, 胡雁. 乳腺癌患者芳香化酶抑制剂诱导的骨关节症状预防和管理的证据总结[J]. 中华护理杂志, 2023, 58(7): 808-815. |
[11] | 谢琼华, 骆尹, 郝富杰, 姜懿珊, 郭爱敏. 慢性阻塞性肺疾病患者家庭呼吸康复护理的最佳证据总结[J]. 中华护理杂志, 2023, 58(7): 857-863. |
[12] | 马喜宁, 白艳娟, 孔思铭, 黄蓉, 张静, 姚辉. 强直性脊柱炎患者运动指导方案的最佳证据总结[J]. 中华护理杂志, 2023, 58(7): 864-870. |
[13] | 单雪琪, 余姜璇, 王俊杰, 许娅文, 沈睿, 王茜茜. 膝骨关节炎患者自我管理的最佳证据总结[J]. 中华护理杂志, 2023, 58(6): 735-742. |
[14] | 张静, 梁士楚, 陈忠兰. 护理领域中临床实践指南依从性的研究进展[J]. 中华护理杂志, 2023, 58(6): 758-762. |
[15] | 葛伟婷, 徐柳燕, 方思岚, 袁凤琴. 急性呼吸道传染病患者经鼻高流量氧疗期间医院感染防控的最佳证据总结[J]. 中华护理杂志, 2023, 58(5): 544-551. |
阅读次数 | ||||||
全文 |
|
|||||
摘要 |
|
|||||