关键词: 手术室, 围手术期护理, 压力性损伤, 循证护理学

Abstract:

Objective To collect,evaluate and integrate the available evidence of prevention of intraoperative acquired pressure injury,and summarize the best evidence. Methods Registered Nurses’ Association of Ontario,National Institute for Health and Clinical Excellence,Scottish Intercollegiate Guidelines Network,National Guideline Clearinghouse,Guidelines International Network,Medlive.cn,British Medical Journal Best Practice,UpToDate,Cochrane Library,Joanna Briggs Institute Library,PubMed,CINAHL,Embase,CNKI,WanFang Data,National Pressure Injury Advisory Panel,Wound Ostomy and Continence Nurses Society,the Association of perioperative Registered Nurses were researched to collect literatures including guidelines,systematic reviews and consensuses. The time limit for the retrieval is from the inception of databases until Decemeber 2019. The JBI evidence appraisal and recommendation system was used to evaluate the quality of studies and the level of evidence. Results 17 pieces of literature were retrieved,including 4 guidelines,12 systematic reviews and 1 consensus. Combined with the judgment of clinical experts,totally 27 peices of evidence were summarized,including risk assessment,skin assessment,position management,patient handover,temperature control,education and training,etc. Conclusion The prevention program of multi-section joint and multi-discipline cooperation should be formed according to the evidence. In the application and implementation of evidence,the best evidence should be selected according to the characteristics of the hospital and the clinical environment,and the management of patients should be standardized to reduce the incidence of intraoperative acquired pressure injury.

Key words: Operating Rooms, Perioperative Nursing, Pressure Injury, Evidence-Based Nursing