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非药物性护理干预在术后恶心和呕吐中的应用:系统评价。

Nonpharmacological Nursing Interventions in Postoperative Nausea and Vomiting: A Systematic Review.

机构信息

School of Nursing, Koc University, Istanbul, Turkey.

School of Nursing, Koc University, Istanbul, Turkey.

出版信息

J Perianesth Nurs. 2024 Feb;39(1):142-154. doi: 10.1016/j.jopan.2023.06.096. Epub 2023 Oct 20.

DOI:10.1016/j.jopan.2023.06.096
PMID:37865902
Abstract

PURPOSE

This study aims to assess the impact of nonpharmacological nursing interventions on postoperative nausea and vomiting (PONV).

DESIGN

This is a systematic review.

METHODS

MEDLINE, Web of Science, ScienceDirect, Tübitak-ULAKBİM, and TRDizin databases were searched for the following search terms, including "Postoperative Nausea and Vomiting," "Nurse," "Nursing," and "Nonpharmacological Interventions" to identify nonpharmacological nursing interventions for PONV. A systematic review of English and Turkish articles published in the period between January 1, 2012 and June 1, 2023 was conducted. The PICOT-SD method was used to determine the compatibility of the pieces with the eligibility criteria.

FINDINGS

Fifty-eight of 3,874 articles obtained from databases fulfilled the eligibility criteria. This study demonstrated that acupuncture, aromatherapy, the oral intake of ginger, listening to music, education, and visits to patients decreased the incidence of nausea and vomiting and increased the quality of life. Additionally, it was found that patients' quality of life tended to improve along with reductions in postoperative complications.

CONCLUSIONS

The results of this study support previous findings in the literature and demonstrate that nonpharmacological nursing interventions help reduce and prevent PONV. Based on our results, we suggest that nonpharmacological nursing interventions can be employed for the management of PONV in patients undergoing surgery.

摘要

目的

本研究旨在评估非药物护理干预对术后恶心呕吐(PONV)的影响。

设计

这是一项系统评价。

方法

在 MEDLINE、Web of Science、ScienceDirect、Tübitak-ULAKBİM 和 TRDizin 数据库中,使用“术后恶心呕吐”“护士”“护理”和“非药物干预”等搜索词,以确定用于 PONV 的非药物护理干预措施。对 2012 年 1 月 1 日至 2023 年 6 月 1 日期间发表的英文和土耳其文文章进行了系统评价。采用 PICOT-SD 方法确定各部分与入选标准的兼容性。

结果

从数据库中获得的 3874 篇文章中有 58 篇符合入选标准。本研究表明,针刺、芳香疗法、口服姜、听音乐、教育和访视患者可降低恶心和呕吐的发生率,提高生活质量。此外,还发现患者的生活质量随着术后并发症的减少而提高。

结论

本研究结果支持文献中的先前发现,并表明非药物护理干预有助于减少和预防 PONV。基于我们的结果,我们建议可以采用非药物护理干预来管理接受手术的患者的 PONV。

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