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 >

2024 , Vol. 5 >Issue 10: 914 - 920

DOI: https://doi.org/10.3761/j.issn.2096-7446.2024.10.008

急危重症患者疼痛管理专题

主动脉夹层患者术前疼痛管理的最佳证据总结

  • 张艳娟 ,
  • 田青 ,
  • 庞冉 ,
  • 赵蕊 ,
  • 康晓凤 ,
  • 任华 ,
  • 张志欣 ,
  • 魏文宇 ,
  • 王菲 ,
  • 张辰
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  • 100037 北京市 中国医学科学院阜外医院急诊室（张艳娟,田青,庞冉,赵蕊,任华,张志欣,魏文宇,王菲）,护理部（张辰）; 北京协和医学院护理学院（康晓凤）
张艳娟：女,本科,副主任护师,护士长,E-mail：shuimeitu999@sina.com

收稿日期: 2024-03-12

  网络出版日期: 2024-10-21

基金资助

中国医学科学院阜外医院护理部专项基金项目（HLB2022002）

收起

Best evidence of preoperative pain management for patients with aortic dissection

  • ZHANG Yanjuan ,
  • TIAN Qing ,
  • PANG Ran ,
  • ZHAO Rui ,
  • KANG Xiaofeng ,
  • REN Hua ,
  • ZHANG Zhixin ,
  • WEI Wenyu ,
  • WANG Fei ,
  • ZHANG Chen
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Received date: 2024-03-12

  Online published: 2024-10-21

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摘要

目的 检索、评价和总结主动脉夹层术前疼痛管理的相关证据,为主动脉夹层患者术前疼痛管理方案的制订提供参考。方法 系统检索国内外相关指南网站、专业协会网站、数据库中关于主动脉夹层患者术前疼痛管理的相关指南、专家共识、临床决策、推荐实践、证据总结、系统评价,检索时限为建库至2023年6月30日。由2名研究者独立进行文献质量评价和资料提取。结果 共纳入18篇文献,其中指南5篇,专家共识9篇,临床决策、推荐实践、证据总结、系统评价各1篇。从疼痛管理原则、疼痛管理目标、疼痛评估、药物干预、非药物干预5个方面汇总了19条推荐意见。结论 该研究总结了主动脉夹层患者术前疼痛管理的最佳证据,可为临床医务人员对主动脉夹层患者进行更科学、更有效的术前疼痛管理提供参考依据。

关键词： 主动脉夹层; 术前; 疼痛管理; 循证护理学; 证据总结

本文引用格式

张艳娟 , 田青 , 庞冉 , 赵蕊 , 康晓凤 , 任华 , 张志欣 , 魏文宇 , 王菲 , 张辰 . 主动脉夹层患者术前疼痛管理的最佳证据总结[J]. 中华急危重症护理杂志, 2024 , 5(10) : 914 -920 . DOI: 10.3761/j.issn.2096-7446.2024.10.008

Abstract

Objective To retrieve,evaluate and summarize the best evidence of preoperative pain management for aortic dissection,and to provide references for clinical practice. Methods We searched the guideline websites,association official websites and databases to collect literature including guidelines,consensus,clinical decisions,recommend practice,evidence summaries,systematic reviews. The search period was from the establishment of the databases to June 30,2023. Two researchers independently evaluated quality of literature and extracted data. Results Totally 18 articles were enrolled,including 5 guidelines,9 expert consensuses,1 evidence summary,1 clinical decision,1 recommended practice and 1 systematic review. Finally 19 pieces of best evidence on pain management principles,pain management objectives,pain assessment tools,medication interventions,non-pharmacological interventions were summarized. Conclusion This study summarized the best evidence of preoperative pain management for aortic dissection,which can provide references for medical staffs to conduct more scientific and effective preoperative pain management in patients with aortic dissection.

Key words： Aortic Dissection; Preoperative; Pain Management; Evidence-Based Nursing; Best Evidence

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