外科结直肠术后病人加速康复外科出院 标准的最佳证据总结.

曹秋君; 虞正红; 齐碧蓉; 孙懿; 吴燕

Objective：To summarize and assess the best evidence of discharge criteria of enhanced recovery for patient after colorectal surgery and to provide reference for clinical practice. Methods：We searched the evidence in domestic and foreign databases to collect litera- tures including clinical decision, guideline（BPG）, evidence summary（ES）, best practice information sheet（BPIS）, recommend practice（RP） and systematic review（SR）. The quality of the literature was evaluated and the data were extracted, and the evidence was extracted from the literature that met the quality standards. Results：5 articles were enrolled, including 1 clinical decision, 2 guidelines and 2 evidence sum- mary. Finally 16 items of best evidence were synthesized into 10 categories including time of discharge, tolerance of oral intake, recovery of lower gastrointestinal function, adequate pain control with oral analgesia, ability to mobilize and self-care, clinical examination and labora- tory tests and so on. Conclusions：It is suggested that tolerance of oral intake, recovery of lower gastrointestinal function, adequate pain control with oral analgesia, ability to mobilize and self-care, clinical examination and laboratory tests should be taken as the discharge criteria of patients after colorectal surgery.

ANALGESIA; ORAL drug administration; POSTOPERATIVE care; INGESTION; COLORECTAL cancer; MEDICAL protocols; DECISION making in clinical medicine; DISCHARGE planning; EVIDENCE-based nursing; PAIN management; HEALTH self-care

Chinese Nursing Research, 2021, Vol 35, Issue 24, p4383

1009-6493

Academic Journal

10.12102/j.issn.1009-6493.2021.24.008