目的 评价ICU心脏外科患者围手术期非药物疼痛管理的相关证据，为临床疼痛管理实践提供参考。方法 确定循证问题，制订检索策略，计算机检索国内外专业指南网、协会网及数据库内有关心脏外科患者非药物疼痛管理的指南、证据总结、最佳实践信息册、推荐实践、系统评价及原始研究。由循证小组对纳入文献进行质量评价、证据提取和总结。结果 最终纳入文献22篇，综合为10个维度的证据，分别是建立跨学科合作团队、非药物疼痛管理教育、疼痛评估工具、疼痛管理目标、非药物疼痛管理的实施原则、非药物疼痛管理的介入时机、术前非药物疼痛管理、术中非药物疼痛管理、术后非药物疼痛管理、干预过程监测与管理，共37条证据。结论 心脏外科围手术期患者非药物疼痛管理对于减少乃至暂停镇痛药物的使用具有重要意义，临床护士可根据患者的疼痛程度及镇痛药物的戒断过程等制订个体化非药物疼痛干预策略，形成药物镇痛到非药物疼痛管理的范式转移。

Objective To evaluate evidence on non-pharmacological pain management for ICU cardiac surgery patients during the perioperative period，providing references for clinical pain management practice.Methods We identified evidence-based questions，developed retrieval strategies，and conducted computer searches of guidelines，evidence summaries，best practices，recommended practices，systematic reviews，and original research related to non-pharmacological pain management for cardiac surgery patients on professional guidance websites，association websites，and databases both domestically and internationally. The evidence-based team conducted quality evaluation，evidence extraction，and summary of the included literature.Results Twenty-two studies were included，synthesized into 10 dimensions with 37 pieces of evidence，covering interdisciplinary team building，non-pharmacological pain management education，pain assessment tools，management goals，implementation principles，intervention timing，preoperative management，intraoperative management，postoperative management，and process monitoring.Conclusion Non pharmacological pain management for perioperative patients in cardiac surgery is of great significance in reducing or even suspending the use of analgesics. Clinical nurses should develop indivi-dualized non-pharmacological pain intervention strategies based on pain intensity and withdrawal process of analge-sics，forming a paradigm shift from pharmacological pain management to non-pharmacological pain management.