主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2022, Vol. 22 ›› Issue (12): 1893-1898.doi: 10.3969/j.issn.1672-1756.2022.12.026

• 专科管理 • 上一篇    下一篇

妇科加速康复外科方案结局指标的范围综述

刘晓夏 葛莉娜 叶慧慧 李梦娜 胡双   

  1. 中国医科大学附属盛京医院第一妇科病房,110004沈阳市
  • 出版日期:2022-12-15 发布日期:2022-12-15
  • 通讯作者: 葛莉娜,硕士,副主任护师,科护士长,E-mail:geln@sj-hospital.org
  • 作者简介:刘晓夏,硕士在读
  • 基金资助:
    辽宁省教育厅2021年度科学研究面上项目(LJKR0279)

Outcomes to gynecological Enhanced Recovery After Surgery protocol: a scoping review

LIU Xiaoxia, GE Lina, YE Huihui, LI Mengna, HU Shuang   

  1. The First Gynecological Ward, Shengjing Hospital Affiliated to China Medical University, Shenyang, 110004, China
  • Online:2022-12-15 Published:2022-12-15
  • Contact: E-mail:geln@sj-hospital.org

摘要: 目的:通过对妇科加速康复外科(ERAS)方案相关研究的文献回顾,明确妇科ERAS方案的文献分布、结局指标及其评价内容应用情况。方法:聚焦妇科ERAS方案相关结局指标,系统检索数据库。提取内容包括文献来源、研究类型、国家、年份、研究对象、结局指标、评价时机、评价内容和收集方法等。检索时间为2016年12月15日至2021年12月15日。结果:共纳入93篇文献,归纳结局指标32项;其中患者相关27项,出现频率排名前5位的结局指标分别为并发症发生率、术后胃肠功能恢复情况、患者术后疼痛评分、患者术后活动情况、再入院率;医院相关结局指标5项,最常见为住院时间。结论:医护人员应进一步推广妇科ERAS方案的应用范围,且不仅监测患者相关的结局指标,还应关注照顾者和医院相关的结局指标,同时应选择具有特异性和敏感性的妇科ERAS方案结局指标,促进妇科ERAS方案的完善及有效落实。

关键词: 妇科;加速康复外科;结局指标;范围综述

Abstract: Objective: To clarify the literature distribution, outcome indicators and the application of evaluation content of the gynecological Enhanced Recovery After Surgery (ERAS) protocol. Methods: Focusing on the outcome indicators for the gynecological ERAS protocol, we systematically searched relevant databases. The extracted contents included: literature characteristics, literature sources, research types, countries, years, research objects, outcome indicators, evaluation timing, evaluation content and collection methods. The search period was from 15, December 2016 to 15, December 2021. Results: A total of 93 articles were included, and 32 outcome indicators were summarized. Among them, there were 27 patient-related items, and the top 5 outcome indicators of high frequency were: complication rate, postoperative gastrointestinal function recovery, postoperative pain score, postoperative activity, and readmission rate. There were 5 hospital-related outcomes, the most common of which was length of stay. Conclusion: The medical staff should further promote the application scope of gynecological ERAS protocol, and at the same time monitor not only patient-related outcome indicators, but also caregivers and hospital-related outcome indicators, and select specific and sensitive gynecological ERAS protocol outcome indicators to promote the improvement and effective implementation of gynecological ERAS protocol.

Key words: gynecology; Enhanced Recovery After Surgery;outcome indicators; scoping review

中图分类号:  R47;R197