以质量求发展,以服务铸品牌

Journal of Nursing ›› 2020, Vol. 27 ›› Issue (24): 31-37.doi: 10.16460/j.issn1008-9969.2020.24.031

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Quality Evaluation of Evidence-based Guidelines for Pain Assessment in Patients with Total Hip Arthroplasty

ZHAO Cun1, WANG Xing-lei1,2, HAN Chun-yan1, PEI Ju-hong1, ZHANG Ya-bin1, GOU Ling1, DOU Xin-man1,2   

  1. 1. School of Nursing, Lanzhou University, Lanzhou 730000, China;
    2. The Second Hospital of Lanzhou University, Lanzhou 730000, China
  • Received:2020-08-21 Online:2020-12-25 Published:2021-01-15

Abstract: Objective To systematically search clinical practice guidelines for pain assessment of patients with total hip replacement (THR) at home and abroad and to provide reference for nursing program of pain assessment for patients with THR. Methods Guidelines meeting the inclusion and exclusion criteria from professional societies, guide websites and databases were collected from the inception to December 2019. AGREE II evaluation tool was used for quality evaluation, and the recommendations of high-quality guidelines were summed up. Results A total of 8 guidelines were included, with 7 in English and 1 in Chinese. Of the 8 guidelines, six fields in AGREE II with average score ranking from high to low were range and purpose (89.35%), clarity of expression (82.18%), participants (81.02%), editorial independence (80.90%), applicability (68.56%), and rigorousness (65.54%). After overall quality evaluation of the guidelines, 5 A-level and 3 B-level guides were identified. After summarizing the recommendations of the 8 guidelines, 28 recommendations are obtained covering evaluation staff, tools, timing, and content, and analgesic effect evaluation. Conclusion There is only one pain assessment guideline for THR in Chinese. After localization, high-quality foreign guidelines abroad can be considered as a guideline for clinical pain assessment for Chinese patients, thus to alleviate pain, improve patients’ quality of life, and nursing quality.

Key words: total hip arthroplasty, clinical practice guideline, AGREE II, guideline evaluation

CLC Number: 

  • R473.6
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