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为优化儿科手术前禁食的干预措施:一个范围审查
Erika Dulay1, Bronwyn Griffin2, James Brannigan3
1Children's Health Queensland Hospital and Health Service, South Brisbane, QLD, Australia; School of Nursing and Midwifery, Griffith University, Nathan, QLD, Australia; School of Nursing, Midwifery and Social Work, The University of Queensland, Brisbane, QLD, Australia.
British journal of anaesthesia
|September 20, 2024
概括
儿童长期的手术前禁食可以通过各种质量改善干预措施来减少. 策略包括更新的协议,技术,个性化计划和改进的沟通,以获得更好的儿科护理.
科学领域:
- 麻醉学 麻醉学
- 儿科手术 儿科手术
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 手术前禁食是全身麻醉的标准,但在儿科患者中通常会延长.
- 目前的指导方针提供了更多的宽容,但儿童仍然经历了长时间的禁食.
- 优化儿科手术前禁食对患者健康至关重要.
研究的目的:
- 审查旨在优化儿科手术前禁食实践的干预措施.
- 确定适用于儿科环境中临床实施的策略.
主要方法:
- 在主要数据库 (PubMed,CINAHL,Embase,Scopus,Cochrane) 进行系统的文献搜索.
- 关键词包括:禁食,手术前,儿科和质量改善干预.
- 以PRISMA-S指南为指导的范围审查方法.
主要成果:
- 分析了13项涉及全球约31,000名儿童的研究.
- 干预集中在六个主要主题:协议变化,技术,个性化计划,临床医生沟通,家长沟通和员工教育.
- 确定了各种方法来解决长期禁食的问题.
结论:
- 已经研究了多种干预措施来缩短儿科手术前的禁食.
- 这些策略显示了减少儿童禁食时间的潜力.
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