目的:检索国内外妇科手术术前肠道准备的相关证据,并汇总成为最佳证据.方法:使用PIPOS工具明确研究问题,计算机检索英国国家卫生与临床优化研究所、加拿大安大略省注册护士协会、UpToDate、BMJ Best Practice、Web of Science、the Cochrane Library、PubMed、CINHAL、中国生物医学文献数据库、中国知网、万方数据库、医脉通等数据库,收集关于妇科手术术前肠道准备的方法及管理等相关证据,检索时限为建库至2023年6月,筛选出符合标准的文献.结果:共纳入7篇文献,其中,系统评价2篇,专家共识5篇,从术前评估、饮食护理、中医肠道准备3个方面汇总妇科手术术前肠道准备的12条最佳证据.结论:总结了关于妇科手术术前肠道准备的相关证据,为临床护理人员指导妇科手术病人术前肠道准备提供临床依据和参考.
Objective:To search the relevant evidence of bowel preparation before gynecological surgery and summarize it into the best evidence.Methods:PIPOS tool was used to clarify the research question.To collect relevant evidence on the methods and management of bowel preparation before gynecological surgery from NICE,RNAO,UpToDate,BMJ Best Practice,Web of Science,the Cochrane Library,PubMed,CINHAL,CBM,CNKI,WanFang Database and Yimaitong.The retrieval time was from the inception to June 2023,and literature meeting the criteria were selected.Results:A total of 7 articles were included,including 2 articles were systematic reviews and 5 articles were expert consensuses.The 12 pieces of best evidence of preoperative bowel preparation for gynecological surgery were summarized from three aspects:preoperative evaluation,diet nursing and traditional Chinese bowel preparation.Conclusion:The evidence of preoperative bowel preparation for gynecological surgery is summarized to provide clinical basis and reference for clinical nurses to guide preoperative bowel preparation for gynecological surgery patients.