中华护理杂志 ›› 2021, Vol. 56 ›› Issue (12): 1868-1875.DOI: 10.3761/j.issn.0254-1769.2021.12.018
张俊峰(), 蔡莹莹, 郑可欣, 陈妙婷, 刘兴玲, 吴艳妮
收稿日期:
2021-06-24
出版日期:
2021-12-15
发布日期:
2021-12-20
作者简介:
张俊峰:女,硕士(博士在读),副主任护师,护理部副主任,E-mail: feng06140119@126.com
基金资助:
ZHANG Junfeng(), CAI Yingying, ZHENG Kexin, CHEN Miaoting, LIU Xingling, WU Yanni
Received:
2021-06-24
Online:
2021-12-15
Published:
2021-12-20
摘要:
目的 对术后急性疼痛患者自控镇痛(patient controlled analgesia,PCA)管理相关指南进行质量评价和内容分析,为制订术后急性疼痛PCA管理规范提供依据。方法 计算机检索国内外指南网、相关专业学会网站及数据库,检索术后疼痛PCA管理相关循证指南,检索时限为建库至2021年4月。应用临床指南研究与评价工具Ⅱ(appraisal of guidelines for research and evaluation instrument Ⅱ,AGREE Ⅱ)对指南进行质量评价,汇总术后疼痛PCA管理的推荐意见。 结果 初检到783篇文献,最终纳入9部指南,3部指南的总体质量评价为A级,6部为B级,整体质量较高。从9部指南中提取23条术后疼痛PCA管理相关推荐意见,涉及组织管理、教育与培训、镇痛模式的选择、患者教育、术前评估、术后监测与评估6个方面。 结论 纳入的指南质量整体较高,为术后急性疼痛PCA规范管理提供了依据,但在独立性、应用性领域有待提高;关于术后疼痛PCA管理的推荐意见散在分布,缺乏具体针对性的管理策略。
张俊峰, 蔡莹莹, 郑可欣, 陈妙婷, 刘兴玲, 吴艳妮. 术后急性疼痛患者自控镇痛管理相关指南的系统评价[J]. 中华护理杂志, 2021, 56(12): 1868-1875.
ZHANG Junfeng, CAI Yingying, ZHENG Kexin, CHEN Miaoting, LIU Xingling, WU Yanni. A systematic review of guidelines on the management of patient-controlled analgesia in adult patients with postoperative acute pain[J]. Chinese Journal of Nursing, 2021, 56(12): 1868-1875.
图1 指南筛选流程及结果 注:NICE为英国国家卫生与临床优化研究所;SIGN为苏格兰校际指南网;RNAO为加拿大安大略护理学会;JBI为乔安娜布里格斯研究所;IASP为国际疼痛研究协会;APS为美国疼痛协会;ASA为美国麻醉医师学会;BPS为大不列颠疼痛协会;ANZCA为澳大利亚和新西兰麻醉医师协会;AGREEⅡ为临床指南研究与评价工具Ⅱ。
Figure 1 Guidelines screening process and results
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