以质量求发展,以服务铸品牌

Journal of Nursing ›› 2021, Vol. 28 ›› Issue (6): 22-26.doi: 10.16460/j.issn1008-9969.2021.06.022

Previous Articles     Next Articles

Best Evidence Summary for Prevention and Management of Perioperative Stress Injury

GAO Xing-lian, YU Wen-jing, XIAO Yao, HU Juan-juan, ZHAO Shi-yu, YANG Ying   

  1. Operating Room, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
  • Received:2020-11-12 Online:2021-03-25 Published:2021-04-08

Abstract: Objective To collect the best evidence for the prevention and management of perioperative stress injury, and provide reference for stress injury management for nursing staff in operating room. Methods We searched studies on the prevention of perioperative stress injury in BMJ Best Practice, Up To Date, Cochrane Library, JBI, PubMed, CNKI, CBM, NICE, SIGN, RNAO, AORN, AHRQ, WOCN, NPUAP, CGN and other databases, including guideline, systematic review, best practices information sheet and evidence summary, etc. The retrieval period was from the inception of the database to October 30, 2019. Two researchers independently appraised articles, and extracted data from eligible studies. Results Seven articles were enrolled including 5 guidelines, 1 meta-analysis and 1 evidence summary. Eighteen pieces of best evidence were extracted from seven articles and finally integrated into six dimensions including risk assessment, support surface, preventive measures, records, education training and health education, and seventeen best evidence. Conclusion Clinical nursing staff should pay attention to the prevention and management of perioperative stress injury and the best evidence should be applied based on clinical context.

Key words: pressure ulcer, stress injury, perioperative, best evidence, evidence-based nursing

CLC Number: 

  • R473.6
[1] National Pressure Ulcer Advisory Panel.Consensus Conference on Pressure Ulcer Staging[EB/OL].[2019-10-30].https://cdn.ymaws.com/npiap.com/resource/resmgr/online_store/npiap_pressure_injury_stages.pdf.
[2] Tania M.Pressure Injury Prevention Strategies: Dressings[J].JBI Evidence Summary,2018(10):1-3.
[3] Joseph J, Mclaughlin D,Darian V,et al.Alternating Pressure Overlay for Prevention of Intraoperative Pressure Injury[J].J Wound Ostomy Continence Nurs,2019, 46(1):13-17. DOI:10.1097/WON.0000000000000497.
[4] O'Brien DD,Shanks AM,Talsma A,et al.Intraoperative Risk Factors Associated with Postoperative Pressure Ulcers in Critically Ill Patients: A Retrospective Observational Study[J].Crit Care Med,2014, 42(1):40-47. DOI:10.1097/CCM.0b013e318298a849.
[5] Lindgren M, Unosson M, Krantz AM, et al.Pressure Ulcer Risk Factors in Patients Undergoing Surgery[J].J Adv Nurs,2005,50(6):605-612. DOI:10.1111/j.1365-2648.2005.03441.x.
[6] Schoonhoven L, Defloor T,Grypdonck M.Incidence of Pressure Ulcers Due to Surgery[J].J Clin Nurs,2002,11(4):479-487. DOI:10.1046/j.1365-2702.2002.00621.x.
[7] 胡娟娟,高兴莲,杨英,等.手术患者手术压疮高危因素的多中心研究[J].护理学杂志,2018,33(16):11-14. DOI:10.3870/j.issn.1001-4152.2018.16.011.
[8] 朱政,胡雁,邢唯杰,等.不同类型循证问题的构成[J].护士进修杂志,2017,32(21):1991-1994. DOI:10.16821/j.cnki.hsjx.2017.21.025.
[9] Dicenso A, Bayley L, Haynes RB.Accessing Preappraised Evidence:Fine-tuning the 5S Model into a 6S Model[J].Evid Based Nurs,2009,12(4):99-101. DOI:10.1136/ebn.12.4.99-b.
[10] Brouwers MC, Kho ME, Browman GP, et al.AGEREEⅡ:Advancing Guideline Development,Reporting and Evaluation in Healthcare[J].Can Med Assoc J,2010,182(10):E839-E842. DOI:10.1503/cmaj.090449.
[11] The Joanna Briggs Institute.Critical Appraisal Tools:JBI's Critical Appraisal Tools Assist in Assessing the Trustworthiness, Relevance and Results of Published Papers[EB/OL].[2019-10-30].https://joannabriggs.org/ebp/critical_appraisal_tools.
[12] The Joanna Briggs Institute Levels of Evidence and Grades of Recommendation Working Party.Supporting Document for the Joanna Briggs Institute Levels of Evidence and Grades of Recommendation[EB/OL].[2019-10-30].http://joannabriggs.org/jbi-approach.html#tabbed-nav=Level-of-Evidence.
[13] National Institute for Health and Care Excellence(NICE).Pressure Ulcers:Prevention and Management[EB/OL].[2019-10-30].http://www.nice.org.uk/guidance/cg179.
[14] National Pressure Ulcer Advisory Panel(NPUAP), European Pressure Ulcer Advisory Panel and Pan Pacific Pressure Injury Alliance.Prevention and Treatment of Pressure Ulcers: Clinical Practice Guideline[M].Perth: Cambridge Media, 2014:22-30.
[15] Gould L, Stuntz M, Giovannelli M, et al.Wound Healing Society 2015 Update on Guidelines for Pressure Ulcers[J].Wound Repair Regen,2016, 24(1):145-162. DOI:10.1111/wrr.12396.
[16] Wound, Ostomy and Continence Nurses Society-wound Guidelines Task Force.WOCN 2016 Guideline for Prevention and Management of Pressure Injuries (Ulcers): An Executive Summary[J].J Wound Ostomy Continence Nurs, 2017, 44(3):241-246. DOI:10.1097/WON.0000000000000321.
[17] Registered Nurses' Association of Ontario(RNAO).Assessment and Management of Pressure Injuries for the Interprofessional Team,Third Edition[EB/OL].(2016-05-01)[2019-10-30].http://rnao.ca/sites/rnaoca/files/Pressure Injuries BPG.pdf.
[18] Huang HY, Chen HL, Xu XJ.Pressure-redistribution Surfaces for Prevention of Surgery-related Pressure Ulcers: A Meta-analysis[J].Ostomy Wound Manage,2013,59(4):36-48.
[19] Vikki W.Pressure Injury Prevention Strategies: Surgical Procedures[J].JBI Evidence Summary,2019(7):1-3.
[20] McInnes E, Jammali-Blasi A, Bell-Syer SE, et al.Support Surfaces for Pressure Ulcer Prevention[J].Cochrane Database Syst Rev, 2015,9(3):1-13. DOI:10.1002/14651858.CD001735.pub5.
[21] Huang H, Chen H, Xu X.Pressure-redistribution Surfaces for Prevention of Surgery-related Pressure Ulcers: A Meta-analysis[J].Ostomy Wound Manage, 2013,59(4):36-48.
[22] Joseph J, McLaughlin D, Darian V, et al.Alternating Pressure Overlay for Prevention of Intraoperative Pressure Injury[J].J Wound Ostomy Continence Nurs, 2019,46(1):13-17.
[23] 王春青,胡雁.JBI 证据预分级及证据推荐级别系统(2014 版)[J].护士进修杂志, 2015, 30(11):964-967. DOI:10.16821/j.cnki.hsjx.2015.11.002.
[24] 刘英,高兴莲.我国术中压疮的研究进展[J].中华现代护理杂志,2013,19(8):982-983. DOI:10.3760/cma.j.issn.1674-2907.2013.08.044.
[25] 李飞,邓波,朱世琴.压疮危险人群翻身间隔时间最佳证据总结[J].护理学报, 2018,25(11):21-25. DOI:10.16460/j.issn1008-9969.2018.11.021.
[1] LIU Lu, ZHU Yu, CAO Yi, ZHANG Hua, PENG Yu-na. Effect of target temperature management strategy on intraoperative temperature management in patients undergoing hyperthermic intraperitoneal chemotherapy [J]. Journal of Nursing, 2025, 32(4): 59-63.
[2] MA Xiao-lan, XU Wei-fang. Application effect of ice water spray based on symptom management theory in thirsty patients undergoing thoracoscopic lobectomy [J]. Journal of Nursing, 2025, 32(4): 70-73.
[3] LI Ruo-Yu, LIU Xin, LIN Ping, CHEN Dan, LIN Hua. Best evidence summary for medication safety management for discharged patients [J]. Journal of Nursing, 2025, 32(3): 50-55.
[4] YANG Xiao-juan, MAO Xiao-rong, WANG Jing, JIANG Hua, LI Rong, FAN Yu, WEN Qing, LI Lin-zhang, CHEN Xiao-rong. Best evidence summary for early enteral nutrition management in adults with severe burns [J]. Journal of Nursing, 2025, 32(3): 56-61.
[5] LIU Shuo-yi, XIONG Li-juan, LI Ling, WANG Yu-mei, HE Jia, LI Xin, YUAN Shi-lei, GUO Xue-qin, WANG Yang-jing, ZHANG Hui-juan. Quality evaluation and content analysis of clinical practice guidelines for prevention and management of frailty in elderly hospitalized patients [J]. Journal of Nursing, 2025, 32(2): 50-55.
[6] YAN Ya-ling, LE Mei-ni, YAO Tao-qin, WANG Xue-lian, JIANG Jian-ling, XIN Yi. Construction of perioperative frailty management program for elderly patients with gastrointestinal tumors [J]. Journal of Nursing, 2025, 32(2): 74-78.
[7] BI Ya-xin, DUAN Ye, HE Li-jun, XU Miao, GONG Rong-hua. Best evidence summary for prevention and management of osteoporosis after metabolic, bariatric surgery [J]. Journal of Nursing, 2025, 32(1): 44-49.
[8] CHEN Jie, MENG Qing-tong, LIU Jing-jin, WU Yan-ni. Development of guideline-based exercise rehabilitation handbook for patients with chronic heart failure [J]. Journal of Nursing, 2024, 31(9): 36-41.
[9] FU Lu-lu, XIE Yi-xuan, WANG Yue, WEI Wei, ZHANG Chuan-ying, ZHU Yu. Evidence summary for auditory stimulation intervention for procedural pain in neonates [J]. Journal of Nursing, 2024, 31(9): 42-47.
[10] CHEN Si-qi, LIU Ning, HOU Xiao-min, LU Shu-ying. Best evidence summary for perioperative nursing management of enhanced recovery after surgery in robotic surgery for gastric cancer [J]. Journal of Nursing, 2024, 31(8): 31-36.
[11] JI Rui-ting, LIN Dan-na, LIU Xiao-cheng, LI Ting-ting, XIE Ying-mei, HU Bing, YING Wen-juan. Best evidence for colostrum as oral immune therapy in premature infants [J]. Journal of Nursing, 2024, 31(8): 37-42.
[12] ZHOU Yi-feng, YANG Ji-ping, HU Zheng-zhong, YUAN Hao. Evidence summary for target-oriented blood glucose monitoring in patients undergoing hepatocellular carcinoma resection [J]. Journal of Nursing, 2024, 31(7): 46-50.
[13] YANG Jian-guo, HE Xi-fei, YAN Jian-jun, ZHANG Meng, YANG Chun-zi, XU Rong, WANG Yan-fang. Best evidence summary for application and management of regional citrate anticoagulation in continuous renal replacement therapy [J]. Journal of Nursing, 2024, 31(4): 48-53.
[14] QI Shui-lin, LIN Hua, DENG Rui-ying, LI Rong-jie, LI Ruo-yu, WANG Feng-ting. Best evidence summary for non-pharmacological treatment of pruritus in elderly patients [J]. Journal of Nursing, 2024, 31(3): 46-50.
[15] YANG Li-na, HUANG Rong, YAO Mei-qi, WANG Zhu-qing, XU Yi-Ting, XIE Pei-min. Risk prediction models for postpartum breastfeeding behavior interruption: a systematic review [J]. Journal of Nursing, 2024, 31(23): 59-65.
Viewed
Full text


Abstract

Cited

  Shared   
No Suggested Reading articles found!