摘要
目的整合国内外有关肠造口高排量管理的最佳证据,为制定临床决策提供循证依据。方法根据“6S”证据模型,系统检索国内外中英文数据库及相关专业网站中肠造口高排量管理的相关文献,文献类型包括临床决策、指南、专家共识、系统评价及随机对照试验,检索时限为建库至2024年6月。由两名研究者独立完成文献质量评价、证据提取及整合。结果最终共纳入相关文献11篇,其中临床决策1篇、指南1篇、系统评价5篇、随机对照试验4篇。最终形成包括可识别的危险因素、病情监测、补液指导、药物指导、饮食指导、健康教育6个方面的17条最佳证据。结论本研究总结了肠造口高排量管理的相关证据,旨在为临床更有效解决肠造口高排量问题提供建议,提高肠造口高排量患者的生活质量,同时为制定临床决策提供循证依据。
Objective Integrate the best domestic and foreign evidence on the management of high-output stoma to provide evidence-based information for making clinical decisions.Methods According to the"6S"evidence model,the evidence on the management of high-output stoma in Chinese and English databases and related professional websites were systematically searched.The literature types included clinical decision-making,guideline,expert consensus,systematic review and RCT,and the retrieval period was from the inception of the databases to June 2024.The literature quality evaluation,evidence extraction and integration were completed by two researchers independently.Results A total of 11 relevant articles were included,including 1 clinical decision-making,1 guideline,5 systematic reviews and 4 RCTs.Seventeen pieces of evidence were summarized into six aspects,including identifiable risk factors,disease monitoring,rehydration guidance,drug guidance,dietary guidance and health education.Conclusion This study summarizes the relevant evidence on the management of high-output stoma.It aims to provide suggestions for more effective solution of high-output stoma,improve the quality of life of patients with high-output stoma,meanwhile,provide evidence-based basis for making clinical decisions.
作者
严满琳
刘珏岑
范英
黄薇融
张智慧
李显蓉
YAN Manlin;LIU Juecen;FAN Ying;HUANG Weirong;ZHANG Zhihui;LI Xianrong(School of Nursing,Southwest Medical University,Luzhou 646000,China;Gastroenterology,Hospital of Southwest Medical University,Luzhou 646000,China)
基金
西南医科大学社科联2023年度研究课题(SKLYB09)。
关键词
肠造口
高排量
管理
证据总结
Stoma
High-output
Management
Summary of evidence
作者简介
严满琳,女,硕士研究生在读,护师;通信作者:李显蓉。
