脊柱外科术后患者深静脉血栓预防及管理的最佳证据总结

doi:10.3761/j.issn.0254-1769.2019.02.026

摘要/Abstract

摘要：

目的检索并获取脊柱外科术后患者深静脉血栓预防及管理的相关证据,为临床提供参考,以降低脊柱外科术后患者深静脉血栓的发生率。方法应用循证护理的方法,针对脊柱外科术后患者深静脉血栓预防及管理提出问题,检索相关文献,采用澳大利亚JBI循证卫生保健中心的文献评价标准和证据分级系统,对各类研究进行文献质量评价及证据级别评定。结果结合专业人员的判断,总结出27条脊柱外科术后患者深静脉血栓预防及管理的证据,包括深静脉血栓评估、诊断与筛查、干预策略、预防时机及方法、健康指导等。结论本研究总结了目前关于脊柱外科术后患者深静脉血栓预防及管理的最佳证据,可为护士及护理管理者提供循证依据。通过应用最佳证据,以科学的方法管理和预防脊柱外科术后深静脉血栓,可提升护理质量。

关键词: 脊柱损伤, 脊髓损伤, 外科手术, 静脉血栓形成, 循证护理学

Abstract:

Objective To select and obtain the best evidence for deep venous thrombosis（DVT） prophylaxis in spinal surgery patients after operation so as to provide reference for clinical practice to decrease the rate of DVT. Methods Using the method of evidence-based nursing,clinical question of DVT prevention in spinal surgery patients was raised. Relevant research was retrieved by computer search. JBI evidence appraisal and recommendation system were used to evaluate quality of studies and level of evidence. Results Combined with judgment of clinical professionals,totally 27 evidences selected,including DVT assessment,diagnosis and screening,intervention strategies,prevention time and methods,health guidance,etc. Conclusion This study summarized the best evidence for prevention and management of deep venous thrombosis after spinal surgery,and help clinical nurses and nursing admi-nistrators decision-making,ultimately through adapting the best evidence and using scientific nursing methods to solve the clinical problems and improve nursing quality.

Key words: Spinal Injuries, Spinal Cord Injuries, Surgical Procedures, Operative, Venous Thrombosis, Evidence-Based Nursing

米元元,陈婷,周英凤,柯卉,张悦,周丽君,罗江敏,晏蓉,刘云访,赵诗雨,李素云. 脊柱外科术后患者深静脉血栓预防及管理的最佳证据总结[J]. 中华护理杂志, 2019, 54(2): 288-294.

MI Yuanyuan,CHEN Ting,ZHOU Yingfeng,KE Hui,ZHANG Yue,ZHOU Lijun,LUO Jiangmin,YAN Rong,LIU Yunfang,ZHAO Shiyu,LI Suyun. Evidence summary for prevention and management of deep venous thrombosis after spinal surgery[J]. Chinese Journal of Nursing, 2019, 54(2): 288-294.

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