摘要
目的构建可供护理实践借鉴参考的骨科大手术患者围手术期深静脉血栓预防策略,用于指导护理具体情境,为骨科大手术患者深静脉血栓的护理预防提供循证依据。方法采用系统评价法系统检索国内外临床实践指南和原始研究,采用澳大利亚循证卫生保健中心质量评价方法和Johns Hopkins标准评鉴文献,总结归纳出骨科大手术患者深静脉血栓相关护理预防措施,初拟护理预防策略问卷,运用德尔菲法,通过两轮征询临床专家意见,提高最终证据策略的可操作性,便于临床证据应用。结果 111篇文献纳入最终研究,通过系统评价和德尔菲法,构建了包涵"风险评估""分级预防""教育指导"在内的3个维度、49项骨科大手术深静脉血栓护理预防策略。结论基于系统评价和德尔菲法构建的骨科大手术患者深静脉血栓护理预防策略具有较高的科学性、实用性和可操作性,可为护理实践提供客观、可借鉴的实施策略,有利于预防措施的有效实施。
Objective To establish nursing prevention strategies for patients with deep venous thrombosis in depart- ment of orthopedics,so as to guide the specific context of clinical nursing practice,offer evidence-based evidence. Methods Clinical practice guidelines and original researches at home and abroad were retrieved using systematic review approach,and appraisal of literatures was conducted using Australia JBI based Quality Evaluation Center for health care evaluation methods and Johns Hopkins standard. The preliminary nursing prevention strategies for patients with deep venous thrombosis in department of orthopedics and Delphi mail questionnaire were developed. Using Delphi method,the operational feasibility of the final evidence strategies was improved for clinical evidence applica- tion through two rounds of consultation from clinical experts. Results A total of 111 articles were included in this study. Forty-nine prevention strategies were established under 3 dimensions including ＂risk assessment graded pre- vention＂ and ＂education and instruction＂ through systematic review and Delphi method. Conclusion Nursing pre- vention strategies in department of orthopedics for patients with deep venous thrombosis based on systematic review and Delphi method have scientific practicability and operability,and can provide objective reference and implemen- tation strategies for nursing practice ,assisting the implementation of effective preventive measures.
出处
《中华护理杂志》
CSCD
北大核心
2017年第7期773-779,共7页
Chinese Journal of Nursing
基金
江苏省科学技术厅社会发展面上项目(BE2015686)
关键词
医院
骨科
病人
静脉血栓形成
预防
Hospitals, Osteopathic
Patients
Venous Thrombosis
Prevention
