目的 检索、评价和整合机器人胃癌手术围术期加速康复外科护理的最佳证据,为临床提供参考。方法 应用循证护理方法系统检索国内外相关数据库和专业网站中有关机器人胃癌手术围术期加速康复外科护理的所有临床决策、最佳实践建议、临床指南、专家共识。检索时限为建库至2023年4月16日。由2名研究者完成文献质量评价和资料筛选工作。结果 共纳入文献12篇,包括临床决策2篇、指南3篇、专家共识7篇,最终形成36条最佳证据,包括机器人胃癌手术围术期加速康复外科的护理流程、麻醉评估与方式、营养护理、术中系统管理与故障处理、团队培训共计7个方面。结论 本研究从7个方面总结了目前关于机器人胃癌手术围术期加速康复外科护理管理的最佳证据36条,为护理工作者推动机器人胃癌手术围术期护理与加速康复外科理念坚实结合,促进患者快速康复提供循证依据。
Abstract
Objective To retrieve, evaluate and integrate the best evidence for perioperative nursing management of enhanced recovery after surgery (ERAS) in robotic surgery for gastric cancer and to provide reference for clinical practice. Methods Clinical decisions, best practice recommendations, clinical guidelines and expert consensus related to perioperative nursing management of ERAS in robotic surgery for gastric cancer were systematically searched from relevant databases and professional websites at home and abroad by evidence-based nursing method. The retrieval period is from the inception to April 16 2023. Literature quality evaluation and data screening were completed by 2 researchers. Results A total of 12 articles were collected, including 2 clinical decisions, 3 guidelines, and 7 expert consensuses. Finally, 36 best pieces of evidence were extracted from 7 aspects including the nursing process of perioperative EARS, anesthesia evaluation and methods, nutrition management, intraoperative system management and fault handling, and team training. Conclusion By summarizing perioperative nursing management of ERAS in robotic surgery for gastric cancer, this study provides evidence-based evidence for nursing workers to promote the combination of perioperative nursing management of robotic surgery for gastric cancer with ERAS and promote the rapid recovery of patients.
关键词
胃癌 /
机器人手术 /
加速康复外科 /
围手术期护理
Key words
gastric cancer /
robotic surgical procedure /
enhanced recovery after surgery /
perioperative nursing
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