护理学报 ›› 2018, Vol. 25 ›› Issue (21): 33-39.doi: 10.16460/j.issn1008-9969.2018.21.033
肿瘤患者术中非计划性低体温预防及管理的证据总结
黄培培1, 米元元2, 吴白女1, 陈肖敏3a, 周明3b, 鲍映雪3b, 张琼3b, 杨喜群3b, 史平1
- 1.湖州师范学院医学院 护理学院,浙江 湖州 313000;
2.华中科技大学同济医学院附属协和医院 重症医学科,湖北 武汉 430022;
3.浙江省人民医院/杭州医学院附属人民医院 a.护理部;b.手术室,浙江 杭州310014
摘要： 目的 检索并获取肿瘤患者术中非计划性低体温的相关证据,为手术室护理人员提供参考,以降低肿瘤患者术中非计划性低体温的发生率。方法 应用循证建立PICO的方法,针对肿瘤手术患者围术期术中非计划性低体温提出问题,并使用计算机检索关于术中非计划性低体温的高级别证据,包括指南、专家共识、系统评价、随机对照试验研究。结果 共纳入证据13篇,包括临床实践指南2篇,专家共识1篇,系统综述5篇,随机对照试验5篇,最终提取28条证据,总结出15条最佳证据。结论 建议临床医务人员在应用证据时,结合所在临床科室的环境,评估证据应用时的潜在相关资源及其促进和障碍性因素,患者的主观意愿等进行针对性的选择证据。同时,由于研究的不断发展和推进,应用者还应持续对证据进行更新,最终通过应用最佳证据,以科学的护理方法解决肿瘤患者术中非计划性低体温的问题,从而促进护理质量的持续改进,改善患者的临床结局,提升患者的满意度。
中图分类号:
- R246.5
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