利用修改后的加快的Delphi过程,制定一个国家多学科的共识,对接受非腹部外科手术的肥胖患者的外科优化进行外科优化
C Cullinane1, A Edwards-Murphy2, C Kennedy2
1Irish Surgical Research Collaborative, Royal College of Surgeons Ireland, St Stephens Green, Ireland; Department of Colorectal Surgery, University of Limerick Hospital Group, Limerick, Ireland.
概括
制定了指导方针,以优化接受非腹部外科手术的肥胖患者的术前护理. 这些共识声明涉及手术前,手术期间和手术后的护理,以改善患者的治疗结果.
科学领域:
- 手术研究的研究.
- 肥胖医学 肥胖医学
- 在外科手术期间的护理.
背景情况:
- 全球肥胖患病率在30年内翻了三倍.
- 肥胖在手术患者管理中带来了独特的挑战.
- 需要为接受非腹部外科手术的肥胖患者制定标准化外科护理指南.
研究的目的:
- 制定关于肥胖患者术后优化的共识指南.
- 针对手术前,手术期间和手术后的护理领域.
- 建立基于证据的标准,用于肥胖个体的非腹部外科手术程序.
主要方法:
- 由爱尔兰外科研究协作 (ISRC) 采用的修改后的德尔菲共识技术.
- 命名组技术 (NGT) 用于开发跨护理领域的共识陈述.
- 三个国家电子Delphi轮与多学科的周边操作团队,实现>80%的共识共识.
主要成果:
- 在接受非腹部外科手术的肥胖患者的手术前护理优化方面取得了94个共识陈述.
- 关键的手术前建议包括预康复,风险分层和并发症管理.
- 在手术期间的优先事项包括安全定位,最少的侵入性技术,VTE/SSI预防和多模式止痛.
- 手术后护理强调适当的止痛,营养,增强恢复和物理治疗.
结论:
- 对肥胖患者的外科治疗标准达成多学科共识.
- 这些指导方针旨在为这一群体标准化非腹部外科手术的临床实践.
- "共识"为术后护理的质量改善举措提供了一个框架.
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