Chinese Journal of Nursing ›› 2019, Vol. 54 ›› Issue (1): 36-41.

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Construction of Nursing Practice Guideline for Emergency Percutaneous Coronary Intervention

  

  • Online:2019-01-15 Published:2019-01-15

急诊经皮冠状动脉介入治疗护理实践指南的构建

国家心血管病中心 中华护理学会心血管专业委员会 北京护理学会心血管专业委员会 中国医学科学院北京协和医学院护理理论与实践研究中心 兰州大学循证医学中心(执笔:郝云霞 李庆印)   

  1. 国家心血管病中心/中国医学科学院阜外医院护理部

Abstract: Objective To develop Nursing Practice Guideline for Emergency Percutaneous Coronary Intervention so as to provide guidance for nursing of emergency percutaneous coronary intervention. Methods Based on World Health Organization Handbook for Guideline Development,the recommendations were established according to best evidence and expert consensus. Appraisal of Guidelines for Research and Evaluation (AGREE) and Reporting Items for Practice Guidelines in Healthcare (RIGHT) were used to finalize full text of the guideline. Results The guideline contained 20 recommendations for 7 clinical questions about identification and assessment,condition monitoring and assessment,oxygen inhalation,safe transport,rehabilitation,skin preparation,and iodine allergy test. Conclusion This guideline based on best evidence and expert consensus can provide guidance and reference for nursing of emergency percutaneous coronary intervention.

Key words: Acute Myocardial Infarction, Evidence-based Nursing, Percutaneous Coronary Intervention, Practice Guideline

摘要: 目的 构建急诊经皮冠状动脉介入治疗护理实践指南,进一步规范急诊经皮冠状动脉介入治疗的护理措施。方法 依据《WHO指南制订手册》,基于最佳证据和专家共识构建指南推荐意见,参考指南评价工具和卫生保健实践指南的报告条目制订该指南内容。结果 构建的指南涵盖了识别与评估、评估与观察、吸氧、安全转运、康复、备皮、碘过敏试验7个临床问题,包括20条推荐意见。结论 基于目前最佳证据和专家共识意见形成的指南可为急诊经皮冠状动脉介入治疗患者护理措施的形成提供参考和指导。

关键词: 急性心肌梗死, 循证护理, 经皮冠状动脉介入治疗, 实践指南