四肢创伤骨折患者急性疼痛管理的最佳证据总结

doi:10.3761/j.issn.2096-7446.2022.04.016

摘要/Abstract

摘要： 目的检索并评价四肢创伤骨折患者急性疼痛管理的相关证据,为临床提供参考。方法运用循证护理方法,针对四肢创伤骨折患者急性疼痛管理提出问题,检索相关文献,采用澳大利亚乔安娜布里格斯研究所（Joanna Briggs Institute,JBI）循证卫生保健中心的文献评价标准和证据分级系统,对相关研究进行文献质量评价及证据级别评定、总结。结果共纳入30篇文献,其中18篇临床决策、6篇指南、4篇最佳实践、2篇证据总结,从教育培训、疼痛评估、固定、非药物止痛、药物止痛、健康教育6个方面总结了31条证据。结论本研究总结了四肢创伤骨折患者急性疼痛管理的最佳证据,可为护理人员管理四肢创伤骨折患者的急性疼痛提供循证依据。

关键词: 多处创伤, 骨折, 急性疼痛, 循证护理学

Abstract: Objective To search and evaluate the evidence of acute pain management in patients with traumatic fracture of limbs,and to provide reference for clinical practice. Methods By using evidence-based nursing method,the authors formulated questions on the management of acute pain in patients with traumatic fracture of limbs,and searched relevant literature,used the literature evaluation standard and evidence grading system of Australian Joanna Briggs Institute（JBI） Evidence-based Health Care Center to evaluates the literature quality and evidence grade of all kinds of research. Results A total of 30 articles were included,including 18 clinical decisions,6 guidelines,4 best practices,and 2 evidence summaries,31 pieces of evidence were summarized from 6 aspects including education and training,pain assessment,fixation,non-pharmacological pain relief,pharmacological pain relief,health education. Conclusion This study summarized the best evidence of acute pain management in patients with traumatic fractures of the extremities,and provides evidence for nursing staff to manage acute pain in patients with traumatic fractures of the extremities.

Key words: Multiple Trauma, Fractures, Acute Pain, Evidence-based Nursing

凡欣欣, 沈小玲, 黄赣英, 张晓庆, 姚欢, 傅蓉, 陈方慧, 钱丽华. 四肢创伤骨折患者急性疼痛管理的最佳证据总结[J]. 中华急危重症护理杂志, 2022, 3(4): 365-371.

FAN Xinxin, SHEN Xiaoling, HUANG Ganying, ZHANG Xiaoqing, YAO Huan, FU Rong, CHEN Fanghui, QIAN Lihua. Summary of the best evidence for acute pain management in patients with traumatic limb fractures[J]. Chinese Journal of Emergency and Critical Care Nursing, 2022, 3(4): 365-371.

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