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改善胃肠道外科手术患者的延迟分泌:综合性审查
Mathulada Chaimee1,2, Jutharat Attawet1,3, Yunjing Qiu1
1School of Nursing and Midwifery, Faculty of Health, University of Technology Sydney, Sydney, Australia.
在胃肠道手术患者中,延迟分泌是由患者,手术和系统因素引起的. 护士主导的多学科干预措施有效地减少了延迟,改善了患者的治疗结果和医疗保健效率.
科学领域:
- 医疗保健管理的管理
- 外科手术患者的结果
- 医疗保健服务研究 医疗服务研究
背景情况:
- 延迟出院是一个重大的全球医疗保健挑战,特别影响胃肠道手术患者.
- 临床并发症和扩展护理需求,如康复,加剧了这一群体的延迟.
- 现有的文献往往将延迟放出概括为延迟放出,需要对胃肠道手术患者进行专注的研究.
研究的目的:
- 综合有关胃肠道外科手术患者延迟分泌的证据.
- 确定导致延迟的患者,临床和医疗保健系统因素.
- 评估影响和有效的干预措施,以便及时给予核准.
主要方法:
- 从2000年到2025年1月出版的综合性文献综述.
- 在CINAHL,Medline,Scopus,Cochrane和PsycINFO数据库中进行的搜索.
- 包括成人胃肠道手术患者的同行评审研究;使用演叙事分析分析的数据.
主要成果:
- 20项研究符合纳入标准,显示患者,手术和系统相关因素有助于延迟出院.
- 延迟出院会对患者和医院的效率产生负面影响.
- 护士主导的口腔教育和简化出院标准显著减少了延迟 (p < 0.0001).
结论:
- 在胃肠道外科手术中延迟分泌是由于复杂的患者,手术和全身相互作用而产生的.
- 护士主导和多学科策略在缓解延迟和提高效率方面是有效的.
- 未来的研究应该使用定性或混合方法的方法来探索心理社会影响.
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