非眼部手术全麻患者术中角膜损伤预防及管理的最佳证据总结

doi:10.16460/j.issn1008-9969.2023.24.027

摘要/Abstract

摘要： 目的总结全麻非眼部手术患者术中角膜损伤预防和管理的最佳证据,为医护人员临床实践提供循证依据。方法计算机检索UpToDate、BMJ-best practice、ClinicalKey、NICE、SIGN、AHRQ、GIN、RANO、医脉通、WHO、美国麻醉学会、中华护理学会、Cochrane Library、JBI、CINAHL、OVID、PubMed、Embase、WOS、CNKI、CBM和万方数据库中有关全麻非眼部手术术中角膜损伤预防及管理的所有证据。检索时段为建库至2022年11月。结果共纳入12篇文献,包括临床决策4篇、指南2篇、系统评价4篇、RCT 2篇。整合22条最佳证据,共涉及风险评估、预防措施、管理措施、监测/随访、教育培训等5个方面。结论本研究从风险评估、预防措施、管理措施、监测/随访、教育培训这5个方面归纳分析有关全麻非眼部手术患者术中角膜损伤预防及管理的最佳证据,医护人员可根据临床实际选择并应用最佳证据,规范医护人员对手术患者角膜损伤的评估及预防管理,以提高护理质量。

关键词: 全身麻醉, 非眼部手术, 角膜损伤, 证据总结, 循证护理

Abstract: Objective To summarize the best evidence for the prevention and management of corneal abrasions in patients under general anesthesia for non-ocular surgery, and to provide evidence-based evidence for clinical practice of medical staff. Methods We searched UpToDate, BMJ-best practice, ClinicalKey, NICE, SIGN, AHRQ, GIN, RANO, Medlive, WHO, American Society of Anesthesiology, Chinese Nursing Association, Cochrane Library, JBI, CINAHL, OVID, PubMed, Embase, WOS, Wiley, CNKI, CBM and Wanfang Data with computer for the evidence pertaining to the prevention and management of corneal abrasions in patients under general anesthesia for non-ocular surgery. The retrieval period was from the inception to November 2022. Results Twelve piece of literature were collected, including 4 clinical decisions, 2 guidelines, 4 systematic reviews and 2 RCTS. A total of 22 pieces of best evidence were integrated into 5 aspects of risk assessment, preventive measures, management measures, monitoring/follow-up, and education and training, etc. Conclusion The best evidence for the prevention and management of intraoperative corneal abrasions in patients with non-ocular surgery can provide practical reference for clinical medical staff. Taking clinical environment of the department into consideration, medical staff could apply the best evidence to prevent or manage the occurrence and development of corneal injury in a scientific way, and ultimately improve nursing quality.

Key words: general anesthesia, non-ocular surgery, corneal abrasions, evidence summary, evidence-based care

中图分类号:

R472.3

周帅, 江锦芳, 崔虹, 别逢桂, 周培明, 孙强, 谭叶. 非眼部手术全麻患者术中角膜损伤预防及管理的最佳证据总结[J]. 护理学报, 2023, 30(24): 27-32.

ZHOU Shuai, JIANG Jin-fang, CUI Hong, BIE Feng-gui, ZHOU Pei-ming, SUN Qiang, TAN Ye. Best evidence summary for prevention and management of intraoperative corneal abrasions in patients undergoing general anesthesia for non-ocular surgery[J]. Journal of Nursing, 2023, 30(24): 27-32.

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