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 (9): 1371-1377.doi: 10.3969/j.issn.1672-1756.2022.09.020

• 循证护理 • 上一篇    下一篇

加速康复理念下经导管动脉栓塞化疗肝癌患者管理的证据总结

陈静 黄雨滟 陈琪 雷素娟 黄厚强 郑思琳 周英凤   

  1. 西南医科大学附属医院肝胆外科,646000 四川省泸州市(陈静,雷素娟);护理部(陈琪,黄厚强,郑思琳);西南医科大学护理学院(黄雨滟);复旦大学护理学院/复旦大学JBI循证护理合作中心(周英凤)
  • 出版日期:2022-09-15 发布日期:2022-09-15
  • 通讯作者: 郑思琳,本科,主任护师,临床护理教研室主任,E-mail:1400223549@qq.com
  • 作者简介:陈静,硕士,主管护师,副护士长
  • 基金资助:
    复旦大学循证护理中心证据转化与临床应用项目(Fudanebn202006)

Summary of evidence for Transcatheter Artery Chemoembolization management based on the Enhanced Recovery After Surgery concept

CHEN Jing, HUANG Yuyan, CHEN Qi, LEI Sujuan, HUANG Houqiang, ZHENG Silin, ZHOU Yingfeng   

  1. Department of Hepatobiliary Surgery, Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan province, 646000, China
  • Online:2022-09-15 Published:2022-09-15
  • Contact: E-mail:1400223549@qq.com

摘要: 目的:总结归纳加速康复理念下行肝动脉栓塞化疗患者管理的证据,以期引发医务人员及患者、家属的重视,降低并发症发生率。方法:按照6S金字塔模型系统检索国内外数据库中相关文献,由2名研究人员独立评价纳入研究的质量,提取证据进行归纳分析。结果:最终纳入14篇文献,其中包括4篇指南、5篇专家共识、1篇证据总结、1篇随机对照研究、1篇病例对照研究、2篇Meta分析,汇总证据为“术前健康宣教与管理”“术后并发症的管理”“术后早期活动时间及安全性、必要性”3个方面内容,共27条。结论:本研究总结得出加强肝动脉栓塞化疗患者的术前健康宣教,及时预防、干预术后并发症的发生,鼓励患者术后早期活动是安全且必要的,可为临床开展加速康复提供参考。

关键词: 经导管动脉栓塞化疗;加速康复;早期活动;循证医学;证据总结

Abstract: Objective: To summarise the evidence for accelerated recovery management of patients undergoing Transhepatic Arterial Chemoembolization (TACE), with a view to raising the awareness of medical staff, patients and families and reducing complications. Methods: After a systematic search of relevant literature in national and international databases according to the 6S pyramid model, two researchers independently evaluated the quality of the included studies and extracted the evidence for inductive analysis. Results: Totally 14 articles were accepted, including 4 guidelines, 5 expert consensus articles, 1 evidence summary, 1 randomized controlled trial, 1 case-control, and 2 Meta-analyses, resulting in 27 pieces of best evidence which could be classified into three aspects: "preoperative health education and management", "management of complications", and "timing, safety and necessity of early activity". Conclusion: It is safe and necessary to strengthen preoperative health education for TACE, implement timely prevention and intervention of complications, and encourage patients to be active early after surgery, which can provide reference for clinical development of accelerated rehabilitation.

Key words: Transcatheter Arterial Chemoembolization; Enhanced Recovery After Surgery; early mobilization; evidence-based medicine; evidence summary

中图分类号:  R47;R197