妇科肿瘤术中压力性损伤的护理证据总结以及对策分析-现代医学

妇科肿瘤术中压力性损伤的护理证据总结以及对策分析

单位：南京医科大学第一附属医院麻醉与围术期医学科, 江苏南京 210029

分类号：R248.3

出版年·卷·期（页码）：2025·53·第三期（485-492）

摘要：

目的：检索、评价并总结国内外有关妇科肿瘤术中压力性损伤的预防和护理证据，为护理实践提供可靠循证依据。方法：按照“6S”模型检索国内外文献数据库、指南网站以及专业协会网站中有关妇科肿瘤手术中压力性损伤的评估、预防及护理等证据，检索时限为自建库起至2023年7月2日。纳入文献由2名研究者进行文献质量评价以及证据级别分级，进一步对证据进行提取及整合。结果：本研究共纳入文献12篇，包括指南4篇、临床决策1篇、系统评价3篇、证据总结2篇、随机对照试验1篇、专家共识1篇。共获取30条证据并归纳为风险评估、体位管理、预防措施、处理措施、人员管理以及交接与转运6个方面。结论：临床护理人员应重视妇科肿瘤术中压力性损伤的预防及管理，根据实际情况选择证据进行应用。

Objective: To retrieve, evaluate, and summarize domestic and international evidence on the prevention and nursing care of pressure injuries during gynecological tumor surgery, providing reliable evidence-based support for nursing practice. Methods: Evidence related to the assessment, prevention, and nursing care of pressure injuries during gynecological tumor surgery were retrieved from domestic and international literature databases, guideline websites, and professional association websites according to the “6S” model. The search period extended from database inception to July 2, 2023. Two researchers independently evaluated the quality of the included literature and the level of evidence, followed by further extraction and integration of the findings. Results: A total of 12 studies were included in this research, comprising 4 guidelines, 1 clinical decision, 3 systematic reviews, 2 evidence summaries, 1 randomized controlled trial, and 1 expert consensus. Thirty pieces of evidence were obtained and categorized into six areas, including risk assessment, position management, preventive measures, treatment measures, personnel management, and handover and transfer. Conclusion: Clinical nursing staff should emphasize the prevention and management of pressure injuries during gynecological tumor surgery and apply evidence-based practices based on the actual situation.

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