主动脉夹层患者出院随访的最佳证据总结

doi:10.3761/j.issn.2096-7446.2023.04.019

摘要/Abstract

摘要： 目的检索、评价和总结主动脉夹层患者出院随访的相关证据,为临床提供参考。方法检索BMJ Best Practice、UpToDate、美国国立指南库、苏格兰院际指南网、英国国家临床医学研究所指南库、国际网络指南网、新西兰指南工作组、医脉通、加拿大安大略注册护士协会网站、乔安娜布里格斯研究所循证卫生保健中心数据库、Google、Cochrane Library、Embase、PubMed、CINAHL、中国生物医学文献数据库、中国知网、万方数据知识服务平台等指南网及数据库,以及急性主动脉夹层国际研究协会、亚洲心血管及胸外科学会、美国心脏病学院、美国心脏学会、欧洲心脏病协会等专业协会发布的有关主动脉夹层患者出院随访的相关证据,包括临床决策、指南、证据总结、专家共识、系统评价。检索时限为建库至2022年1月24日。由2名研究者对文献质量进行评价和资料提取。结果共纳入15篇文献,其中4篇临床决策、3篇指南、7篇专家共识、1篇系统评价。从随访原则、随访时间/频率、影像学检查指导、药物指导、血压指导、生活方式指导、妊娠指导、并发症管理8个方面总结14条最佳证据。结论该研究总结了主动脉夹层患者出院随访的最佳证据,医护人员应用证据的同时可根据患者意愿和临床具体情况,结合专业判断,制订有效、可行的护理策略,从而对患者实施科学随访管理,提高护理质量。

关键词: 主动脉夹层, 随访, 证据总结, 循证护理学

Abstract: Objective To retrieve,evaluate and summarize the best evidence of discharge follow-up for patients with aortic dissection. Methods We searched BMJ Best Practice,UpToDate,National Guideline Clearinghouse,Scottish Intercollegiate Guidelines Network,National Institute for Health and Care Excellence,Guidelines International Network,New Zealand Guidelines Group,Medlive,Registered Nurses' Association of Ontario,Joanna Briggs Institute library,Google,Cochrane library,Embase,PubMed,CINAHL,China Biology Medicine disc,CNKI,WANGFANG,and professional societies such as International Registry of Acute Aortic Dissection,Asian Society for Cardiovascular Surgery,American College of Cardiology,American Heart Association,The European Society of Cardiology,to collect relevant evidence,including clinical decision,guidelines,evidence summaries,expert consensuses and systematic reviews published from database construction to January 24th of 2022. Two researchers evaluated the quality of the literature,and extracted the evidence. Results Totally 15 articles were included,including 4 clinical decisions, 3 guidelines, 7 expert consensus and 1 systematic review. Finally,14 pieces of best evidence about principles of follow-up,follow-up time/frequency,imaging examination guidance,drug guidance,blood pressure guidance,lifestyle guidance,pregnancy guidance and complication management were summarized. Conclusion This study summarized the best evidence of discharge follow-up for patients with aortic dissection. Medical staff can develop effective and feasible nursing strategies according to patients' wishes and clinical conditions and professional judgment while applying evidence,so as to implement scientific follow-up management for patients and improve the quality of care.

Key words: Aortic Dissection, Follow-Up, Evidence Summary, Evidence-Based Nursing

吴前胜, 周雁荣, 王兰, 王萧萧. 主动脉夹层患者出院随访的最佳证据总结[J]. 中华急危重症护理杂志, 2023, 4(4): 364-370.

WU Qiansheng, ZHOU Yanrong, WANG Lan, WANG Xiaoxiao. Best evidence summary on discharge follow-up of patients with aortic dissection[J]. Chinese Journal of Emergency and Critical Care Nursing, 2023, 4(4): 364-370.

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