| 王雪,张伟英,张美洁,谢学敏,王晨威.腹腔镜胃肠肿瘤患者术后低体温预防及管理的证据总结[J].上海护理,2025,25(9): |
| 腹腔镜胃肠肿瘤患者术后低体温预防及管理的证据总结 |
| Evidence Summary on the Prevention and Management of Hypothermia in Laparoscopic Gastrointestinal Tumor Patients Post-Surgery |
| DOI： |
| 中文关键词: 胃肠肿瘤 术后低体温，循证护理 证据总结 |
| 英文关键词:Gastrointestinal Tumors Postoperative Hypothermia Evidence-Based Nursing Evidence Summary |
| 基金项目:上海交通大学医学院附属仁济医院护理学科人才项目；上海市浦东新区卫生系统重要薄弱学科建设项目（PWZbr2022-04）;上海市浦东新区卫生系统领先人才培养计划（PWRl2020-10） |
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| 中文摘要: |
| 目的 系统检索、评价和整合关于腹腔镜胃肠肿瘤患者术后低体温预防及管理的相关证据，为临床护理实践提供循证依据。方法 按照循证资源“6S”模型，系统检索、筛选国内外指南网、相关机构网站及数据库内有关腹腔镜胃肠肿瘤患者术后低体温预防及管理的临床决策、推荐实践、指南、专家共识、系统评价、META 分析、证据总结、随机对照试验等文献。检索时限为建库至 2024 年 6 月 1 日。由 4 名研究人员对文献进行质量评价，并根据主题对证据进行提取与汇总。结果 最终纳入文献 24 篇。其中临床决策 1 篇，推荐实践 2 篇，指南3 篇，专家共识 1 篇，系统评价 8 篇, META 分析 2 篇，证据总结 3 篇，随机对照试验4 篇。从风险识别预测、体温监测评估、被动保温措施、主动加温策略及仪器设备管理 5 个方面形成了 25 条最佳证据。结论 本研究总结的证据可为临床医护人员制订腹腔镜胃肠肿瘤患者术后低体温预防及管理方案提供循证依据，证据应用时医护人员需考虑本医院腹腔镜胃肠肿瘤患者术后低体温管理现状及个体需求，从而实现预防和管理效果最大化。 |
| 英文摘要: |
| Objective: To systematically search, evaluate, and synthesize evidence on the prevention and management of postoperative hypothermia in patients with laparoscopic gastrointestinal tumors, providing evidence-based support for clinical nursing practice. Methods: Following the Evidence-Based "6S" model, we systematically searched for clinical decision-making documents, recommended practices, guidelines, expert consensus, systematic reviews, meta-analyses, evidence summaries, and randomized controlled trials on the prevention and management of postoperative hypothermia in patients with laparoscopic gastrointestinal tumors. The literature was sourced from international guideline databases, relevant institutional websites, and databases, with a cut-off date up to June 1, 2024. Four researchers conducted quality assessments of the literature and synthesized evidence based on relevant themes. Results: A total of 24 articles were included in the final analysis, consisting of 1 clinical decision-making document, 2 recommended practices,3 guidelines, 1 expert consensus, 8 systematic reviews, 2 meta-analyses, 3 evidence summaries, and 4 randomized controlled trials. A set of 25 best evidence recommendations were formed, covering risk identification and prediction, temperature monitoring and assessment, passive warming measures, active warming strategies, and management of equipment and instruments. Conclusion: The evidence summarized in this study provides a foundation for clinical staff to develop protocols for the prevention and management of postoperative hypothermia in laparoscopic gastrointestinal tumor patients. When applying this evidence, medical staff should consider the current management practices of postoperative hypothermia in their institutions and the individual needs of patients, thereby maximizing the effectiveness of prevention and management strategies. |
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