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护理学报 ›› 2021, Vol. 28 ›› Issue (18): 35-40.doi: 10.16460/j.issn1008-9969.2021.18.035

• 循证护理 • 上一篇    下一篇

复苏室患者术后寒颤评估与干预的最佳证据总结

庄珊珊, 张转运, 王江   

  1. 南京大学医学院附属鼓楼医院 麻醉手术科,江苏 南京 210008
  • 收稿日期:2021-04-16 出版日期:2021-09-25 发布日期:2021-10-12
  • 通讯作者: 张转运（1983-）,女,江苏南京人,本科学历,主管护师,护士长。E-mail：769848417@qq.com
  • 作者简介:庄珊珊（1991-）,女,江苏南京人,本科学历,护师。

Best Evidence Summary for Evaluation and Intervention of Postoperative Shivering in Patients in Post Anesthesia Care Unit

ZUANG Shan-shan, ZHANG Zhuan-yun, WANG Jiang   

  1. Dept. of Anesthesia, Gulou Hospital Affiliated to Medical College of Nanjing University, NangJing 210008, China
  • Received:2021-04-16 Online:2021-09-25 Published:2021-10-12

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摘要： 目的 检索、评价并整合国内外关于复苏室患者术后发生寒颤的评估和干预的最佳证据。方法 检索国际指南网、美国指南网、加拿大安大略注册护士协会、英国医学期刊、Joanna Briggs Library、GeenMedical、Up To Date、苏格兰院际指南网、美国围麻醉期护士协会、Cochrane Library、美国围手术期注册护士协会、Medline、万方、临床诊疗指南、维普、中国知网以及中华医学会麻醉学分会中有关术后寒颤的评估与干预的证据,文献质量评价是在2名以上评价者独自进行证据采集、处理和整合的基础上的完成的。结果 本研究共分析研究了10篇具有代表性的文献,其中指南2篇、专家共识2篇、证据总结1篇、系统评价4篇,随机对照试验1篇,从中总结了包括风险因素、评估时机与评估工具、干预措施和质量控制4个方面的16条最佳证据。结论 医务人员应准确识别寒颤风险因素,并进行及时和标准化的评估,制定相应的干预措施,根据本院实际情况将最佳证据总结应用于临床实践,以提高患者舒适度,降低寒颤及其相关并发症的发生。

关键词: 术后寒颤, 评估, 干预, 复苏室, 循证

Abstract: Objective To retrieve, evaluate and integrate the best evidence of evaluation and intervention of postoperative shivering in patients in post anesthesia care unit. Methods We searched the Guidelines International Network, National Guideline Clearing-house, Registered Nurses'Association of Ontario, British Medical Journal, Joanna Briggs Library, GeenMedical, Up To Date, Scottish Intercollegiate Guidelines Network, American Society of Perianesthesia Nurses, Cochrane Library, The Association of Perioperative Registered Nurses, Medline, Wanfang Data, Clinical Diagnosis and Treatment Guide, VIP, CNKI and Chinese Society of Anesthesiology, to gather evidence for postoperative shivering assessment and intervention. Literature quality assessment was completed on the basis of evidence collection, processing and integration conducted by more than 2 reviewers. Results Ten articles were analyzed, including 2 guidelines, 2 expert consensus, 1 evidence summary, 4 systematic reviews and 1 randomized controlled trial, from which 16 pieces of best evidence were summarized into 4 categories including risk factors, assessment timing and assessment tools, interventions and quality control. Conclusion Accurate identifying, timely and accurate evaluation of the risk factors of shivering, appropriate intervention measures, and application of the best evidence in clinical practice according to the actual situation of the hospital are conducive to improving patient comfort and reducing the occurrence of shivering and its related complications.

Key words: postoperative shivering, evaluation, intervention, post anesthesia care unit, evidence-based

中图分类号: 

  • R472.3
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