门诊手术后麻醉后快速通道的患者结果:系统性审查
Ella Hermie1,2, Nicky Van Der Vekens1, Hannelore Hofman2
1Department of Anaesthesia, Intensive Care and Pain Centre, VZW Maria Middelares, Ghent, Belgium.
International journal of nursing studies advances
|December 16, 2025
概括
从手术室直接快速跟踪某些手术患者可能会减少住院时间,但不会损害结果. 需要更多高质量的研究来证实这种方法在门诊手术中的安全性和有效性.
科学领域:
- 手术护理 医疗护理
- 术后护理 术后护理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 手术和麻醉技术的进步使得一些门诊患者可以直接从手术室出院.
- 快速跟踪,将患者直接转移到专门的康复区域,旨在加快家庭出院.
- 快速跟踪对患者结果和安全的影响需要进一步调查.
研究的目的:
- 系统地审查和评估快速通道与门诊外科手术标准恢复途径的有效性.
主要方法:
- 进行了随机对照试验,病例控制研究和队列研究的系统审查.
- 在多个数据库 (MEDLINE,Embase,Web of Science,CINAHL,Cochrane,Scopus) 进行了搜索,直到2025年1月.
- 评估了偏差风险,并使用了叙事综合,因为研究异质性.
主要成果:
- 包括7项具有偏差高风险的低质量研究;5项是在2005年之前发表的.
- 与标准恢复相比,快速跟踪与术后停留时间较短有关.
- 在快速治疗组中,再入院率和术后不良事件的发生率相似或更好.
结论:
- 快速跟踪选择的门诊外科手术患者可以减少停留时间,而不会影响结果.
- 这种方法可以提高护理效率和资源利用率.
- 高质量的研究对于确认快速跟踪的安全性和有效性至关重要,可能需要量身定制的护理.
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