ISSN 2097-6046（网络）
ISSN 2096-7446（印刷）
CN 10-1655/R
主管：中国科学技术协会
主办：中华护理学会
中华急危重症护理杂志

中华急危重症护理杂志 ›› 2023, Vol. 4 ›› Issue (6): 519-525.doi: 10.3761/j.issn.2096-7446.2023.06.007

• 指南与标准 • 上一篇    下一篇

急性胸痛护理临床实践指南的构建

中国医疗保健国际交流促进会胸痛分会胸痛护理学组山东大学齐鲁医院（执笔：张敏, 王文君, 郭卫婷）   

  1. 250012 济南市 山东大学齐鲁医院护理部（张敏）,急诊科（王文君,郭卫婷）
  • 收稿日期:2023-01-12 出版日期:2023-06-10 发布日期:2023-06-01
  • 作者简介:张敏：女,硕士,副主任护师,护理部副主任,E-mail：laohuang302@sina.com

Construction of clinical practice guideline for acute chest pain nursing

Chest Pain Nursing Group of Chest Pain Branch of China International Exchange, Promotive Association for Medical, Health Care, Qilu Hospital of Shandong University（Writing Committee：ZHANG Min, WANG Wenjun, GUO Weiting）   

  • Received:2023-01-12 Online:2023-06-10 Published:2023-06-01

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摘要： 目的 构建急性胸痛护理临床实践指南（以下简称指南）,为急性胸痛患者自社区医疗、院前急救到急诊科、专科治疗以及二级预防的护理提供实践依据。方法 严格按照循证护理实践指南制订方法,撰写指南计划书并在国际实践指南注册平台完成注册,在指南指导委员会监督下,共识专家组与制订工作组共同构建指南草案,并由外审专家组进行评审,修改并达成意见一致后形成正式指南。结果 指南推荐意见涵盖院前急救、安全转运、预检分诊、疼痛管理、氧疗管理、手术管理、药物管理、心脏康复、胸痛中心建设、培训教育10个方面的内容,共57条推荐意见。结论 该指南是根据最佳证据、结合临床医护人员专业判断,并充分纳入患者意愿及价值观形成的循证指南,可为临床护士针对急性胸痛患者护理提供指导和参考。

关键词: 急性疼痛, 胸痛, 急症护理, 指南, 循证护理学

Abstract: Objective To develop the "Clinical practice guideline for nursing of acute chest pain" to provide practical basis for the nursing of patients with acute chest pain from community medical care,pre-hospital emergency care to emergency department,specialized treatment and secondary prevention. Methods In strict accordance with the method of formulating evidence-based nursing practice guideline,the guideline protocol was written and registered on the international practice guideline registration platform. Under the supervision of the guideline guidance committee,the consensus expert group and the development working group jointly constructed the draft of the guideline,which was reviewed by the external audit expert group,revised and agreed to form a formal guideline. Results The guideline included 10 aspects,including pre-hospital first aid,safe transport,pre-examination and triage,pain management,oxygen therapy management,surgery management,drug management,cardiac rehabilitation,chest pain center construction,training and education,and 57 recommendations in total. ConclusionThe guideline is an evidence-based guideline based on the best evidence,combined with the professional judgment of clinical doctors and nurses,and the patient preference and value,which can provide practical basis for clinical nursing staff to care for patients with acute chest pain.

Key words: Acute Pain, Chest Pain, Emergency Nursing, Guideline, Evidence-Based Nursing