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Journal of Nursing ›› 2021, Vol. 28 ›› Issue (11): 33-39.doi: 10.16460/j.issn1008-9969.2021.11.033

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Best Evidence Summary for Non-pharmacological Management in Patients with Postoperative Nausea and Vomiting

ZHAO Zi-jia1a, ZHAO Dan1b, CHEN Bi-xian1b, LIN Yan-qun1a, ZENG Shao-shan1c, LING Dong-lan2   

  1. 1a. The Third Surgical Department; 1b. Dept. of Nursing Administration; 1c. the Second Surgical Department, Guangzhou Integrated Traditional Chinese and Western Medicine Hospital, Ghangzhou 510800, China;
    2. Dept. of Nursing Administration, the Second Affiliated Hospital of Guangzhou Medical University, Guangzhou 510260,China
  • Received:2021-02-07 Online:2021-06-10 Published:2021-07-06

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Abstract: Objective To summarize the best evidence in regards to non-pharmacological management in patients with postoperative nausea and vomiting (PONV), to provide reference for clinical nursing practice for patients with PONV. Methods Problems were identified based on evidence-based nursing methods, and the “6S” pyramid model of evidence resource. Literature on PONV including guideline, consensus, clinical decision-making, and evidence summary was collected in domestic and foreign databases. Evaluation of the included literature was conducted by 2 researchers independently who had completed evidence-based nursing training. Evidence was extracted from articles meeting the standards. Results A total of 15 pieces of evidence were included with 1 clinical decision, 4 guidelines, 5 systematic reviews, 3 evidence summaries, 1 best practice, and 1 expert consensus. The best evidence of non-pharmaceutical management for PONV was summarized into 9 dimensions with 26 items. Conclusion Standardized training on risk assessment and non-pharmaceutical management for PONV should be strengthened. Non-pharmaceutical methods such as acupoint stimulation, ear points pressing beans, breath control guidance, and chewing gum are available selections for patients with PONV.

Key words: postoperative nausea and vomiting, best evidence, non-pharmacological management, evidence-based nursing

CLC Number: 

  • R473.6
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