急诊经皮冠状动脉介入治疗护理实践指南的构建
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摘要
目的构建急诊经皮冠状动脉介入治疗护理实践指南,进一步规范急诊经皮冠状动脉介入治疗的护理措施。方法依据《WHO指南制订手册》,基于最佳证据和专家共识构建指南推荐意见,参考指南评价工具和卫生保健实践指南的报告条目制订该指南内容。结果构建的指南涵盖了识别与评估、评估与观察、吸氧、安全转运、康复、备皮、碘过敏试验7个临床问题,包括20条推荐意见。结论基于目前最佳证据和专家共识意见形成的指南可为急诊经皮冠状动脉介入治疗患者护理措施的形成提供参考和指导。
Objective To develop Nursing Practice Guideline for Emergency Percutaneous Coronary Intervention so as to provide guidance for nursing of emergency percutaneous coronary intervention. Methods Based on World Health Organization Handbook for Guideline Development,the recommendations were established according to best evidence and expert consensus. Appraisal of Guidelines for Research and Evaluation(AGREE) and Reporting Items for Practice Guidelines in Healthcare(RIGHT) were used to finalize full text of the guideline. Results The guideline contained 20 recommendations for 7 clinical questions about identification and assessment,condition monitoring and assessment,oxygen inhalation,safe transport,rehabilitation,skin preparation,and iodine allergy test. Conclusion This guideline based on best evidence and expert consensus can provide guidance and reference for nursing of emergency percutaneous coronary intervention.
Objective To develop Nursing Practice Guideline for Emergency Percutaneous Coronary Intervention so as to provide guidance for nursing of emergency percutaneous coronary intervention. Methods Based on World Health Organization Handbook for Guideline Development,the recommendations were established according to best evidence and expert consensus. Appraisal of Guidelines for Research and Evaluation(AGREE) and Reporting Items for Practice Guidelines in Healthcare(RIGHT) were used to finalize full text of the guideline. Results The guideline contained 20 recommendations for 7 clinical questions about identification and assessment,condition monitoring and assessment,oxygen inhalation,safe transport,rehabilitation,skin preparation,and iodine allergy test. Conclusion This guideline based on best evidence and expert consensus can provide guidance and reference for nursing of emergency percutaneous coronary intervention.
引文
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[19]曾宪涛,刘慧,陈曦,等.Meta分析系列之四:观察性研究的质量评价工具[J].中国循证心血管医学杂志,2012,4(4):297-299.
[20]陈耀龙.GRADE在系统评价和实践指南中的应用[M].兰州:兰州大学出版社,2017.
[21]韩雅玲,颜红兵.中国急性冠状动脉综合征防止现状蓝皮书2015[M].北京:人民卫生出版社,2016:36-37.
[22]Rolley JX,Salamonson Y,Wensley C,et al.Nursing clinical practice guidelines to improve care for people undergoing percutaneous coronary interventions[J].Aust Crit Care,2010,24(1):18-38.
[23]Diercks DB,Peacock WF,Hiestand BC,et al.Frequency and consequences of recording an electrocardiogram>10 minutes after arrival in an emergency room in non-st-segment elevation acute coronary syndromes(from the CRUSADE Initiative)[J].Amer J Cardiology,2006,97(4):437-442.
[24]Chen ZM,Jiang LX,Chen YP,et al.Addition of clopidogrel to aspirin in 45 852 patients with acute myocardial infraction:randomised placebo-controlled trial[J].Lancet,2005,366(9497):1607-1621.
[25]丁英,王静,杨琴燕.早期人文关怀住院模式在急性心肌梗死择期介入治疗患者护理中的应用[J].实用临床医药杂志,2017,21(14):12-15.
[26]邵爱英.心理护理在中青年急性心肌梗死患者行急诊PCI术中的运用[J].内蒙古中医药,2017,36(13):153-154.
[27]Shen X,Zhu X,Wu Y,et al.Effects of a psychological intervention programme on mental stress,coping style and immune function in percutaneous coronary intervention patients[J].Plos One,2018,13(1):e0187745.
[2]陈伟伟,高润霖,刘力生,等.《中国心血管病报告2014》概要[J].中国循环杂志,2015,30(7):617-622.
[3]The Word Bank.Toward a healthy and harmonious life in China:stemming the rising tide of non-communicable diseases.[EB/OL].(2018-05-01)[2016-04-01].http://www.worldbank.org/content/dam/Worldbank/document/NCD_report_en.pdf.
[4]中华医学会心血管病学分会介入心脏病学组.中国经皮冠状动脉介入治疗指南(2016)[J].中华心血管病杂志,2016,44(5):382-400.
[5]Steg PG,James SK,Atar D,et al.ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation the task force on the management of ST-segment elevation acute myocardial infarction of the European Society of Cardiology(ESC)[J].Europ Heart J,2017,33(20):2569-2619.
[6]Scottish Intercollegiate Guidelines Network(SIGN).Acute coronary syndrome.Edinburgh:SIGN,2016.(SIGN publication No.148)[EB/OL].(2018-05-01)[2016-04].http://www.sign.ac.uk.
[7]马丽媛,吴亚哲,王文,等.《中国心血管病报告2017》要点解读[J].中国心血管杂志,2018,18(1):3-6.
[8]陈国钦,张稳柱,李健豪,等.胸痛中心模式下不同到院方式对急性ST段抬高型心肌梗死患者再灌注时间的影响[J].中国循环杂志,2017,9(32),859-863.
[9]Dunckley M,Quinn T,Dickson R,et al.Acute coronary syndrome nurses:perceptions of other members of the health care team[J].Accident Emerg Nurs,2006,14(4):204-209.
[10]李红,秦俊春,周越.急诊科护士分诊时初筛胸痛患者心电图在诊断急性冠状动脉综合征的作用[J].华西医学,2016(4):750-752.
[11]World Health Organization.WHO Handbook for Guideline Development[Z].2014.
[12]蒋朱明,詹思延,贾晓巍,等.制订/修订《临床诊疗指南》的基本方法及程序[J].中华医学杂志,2016,96(4):250-253.
[13]Brouwers MC,Kho ME,Browman GP,et al.AGREEⅡ:advancing guideline development,reporting and evaluation in health care[J].CMAJ,2010,182(18):1308-1311.
[14]韦当,王聪尧,肖晓娟,等.指南研究与评价(AGREEⅡ)工具实例解读[J].中国循证儿科杂志,2013,8(4):316-319.
[15]陈耀龙.卫生保健实践指南的报告规范研究[D].兰州:兰州大学,2015.
[16]Shea BJ,Grimshaw JM,Wells GA,et al.Development of AM-STAR:a measurement tool to assess the methodological quality of systematic reviews[J].Bmc Medical Research Methodology,2007,7(2):1-7.
[17]Higgins JPT,Green S.Cochrane handbook for systematic reviews of interventions version 5.1.0[EB/OL].[2018-02-16].http://www.cochrane-handbook.org.
[18]Wells G,Shea B,O’Connell D,et al.The Newcastle-Ottawa Scale(NOS)for assessing the quality or nonrandomized studies in meta-analyses[S/OL].[2018-05-01].http://www.evidencebasedpublichealth.de/download/Newcastle_Ottowa_Scale_Pope_Bruce.pdf.
[19]曾宪涛,刘慧,陈曦,等.Meta分析系列之四:观察性研究的质量评价工具[J].中国循证心血管医学杂志,2012,4(4):297-299.
[20]陈耀龙.GRADE在系统评价和实践指南中的应用[M].兰州:兰州大学出版社,2017.
[21]韩雅玲,颜红兵.中国急性冠状动脉综合征防止现状蓝皮书2015[M].北京:人民卫生出版社,2016:36-37.
[22]Rolley JX,Salamonson Y,Wensley C,et al.Nursing clinical practice guidelines to improve care for people undergoing percutaneous coronary interventions[J].Aust Crit Care,2010,24(1):18-38.
[23]Diercks DB,Peacock WF,Hiestand BC,et al.Frequency and consequences of recording an electrocardiogram>10 minutes after arrival in an emergency room in non-st-segment elevation acute coronary syndromes(from the CRUSADE Initiative)[J].Amer J Cardiology,2006,97(4):437-442.
[24]Chen ZM,Jiang LX,Chen YP,et al.Addition of clopidogrel to aspirin in 45 852 patients with acute myocardial infraction:randomised placebo-controlled trial[J].Lancet,2005,366(9497):1607-1621.
[25]丁英,王静,杨琴燕.早期人文关怀住院模式在急性心肌梗死择期介入治疗患者护理中的应用[J].实用临床医药杂志,2017,21(14):12-15.
[26]邵爱英.心理护理在中青年急性心肌梗死患者行急诊PCI术中的运用[J].内蒙古中医药,2017,36(13):153-154.
[27]Shen X,Zhu X,Wu Y,et al.Effects of a psychological intervention programme on mental stress,coping style and immune function in percutaneous coronary intervention patients[J].Plos One,2018,13(1):e0187745.