Wang Yiting, Shi Jiaqi, Wei Yanjun, Wu Jin
Department of Anesthesiology, Affiliated Hospital of Jiangsu University, Zhenjiang City, Jiangsu Province, China.
Department of Anesthesiology, Affiliated Hospital of Jiangsu University, Zhenjiang City, Jiangsu Province, China.
J Perianesth Nurs. 2024 Dec;39(6):1095-1103. doi: 10.1016/j.jopan.2024.01.027. Epub 2024 Jun 27.
To summarize the evidence on perioperative nausea and vomiting management in adult patients worldwide.
This is a summary of the best evidence on postoperative nausea and vomiting in adults.
Databases such as British Medical Journal Best Practice, Cochrane Library, Joanna Briggs Institute, National Institute for Health and Care Excellence, Scottish Intercollegiate Guidelines Network, National Guideline Clearing House, Guidelines International Network, American Society of Anesthesiologists (ASA), Association of periOperative Registered Nurses (AORN), Registered Nurses Association of Ontario, PubMed, Cumulative Index to Nursing and Allied Health Literature, Embase, Yimaitong Clinical Guidelines, China Anesthesia Official website, SinoMed, China National Knowledge Infrastructure, Wanfang, and VIP were searched to collect the relevant guidelines for clinical decision-making, best practices, systematic review, evidence summary, and expert consensus about perioperative nausea and vomiting management. The retrieval time was from the establishment of the database to January 2022. Two authors independently evaluated the quality of the included literature and extracted and summarized the evidence that met the quality criteria.
A total of 22 studies, including 1 best practice, 2 clinical decision-making articles, 7 evidence summaries, 1 clinical guideline, 9 systematic reviews, and 2 expert consensuses, were included. The summary of 37 pieces of evidence from 7 aspects: risk factors, assessment methods, multimodal prevention strategy, health education, nondrug intervention, drug prevention, postoperative analgesia management strategy, and organization management.
The health care team should select the best evidence according to the characteristics of the department and clinical practice, scientifically manage perioperative nausea and vomiting of patients, reduce the incidence and severity of nausea and vomiting, and promote the accelerated rehabilitation of patients.
总结全球成年患者围手术期恶心呕吐管理的证据。
这是关于成人术后恶心呕吐最佳证据的总结。
检索英国医学杂志最佳实践、考克兰图书馆、乔安娜·布里格斯研究所、英国国家卫生与临床优化研究所、苏格兰校际指南网络、国家指南交换中心、指南国际网络、美国麻醉医师协会（ASA）、围手术期注册护士协会（AORN）、安大略省注册护士协会、PubMed、护理学与健康相关文献累积索引、Embase、医脉通临床指南、中国麻醉官网、中国生物医学文献数据库、中国知网、万方和维普等数据库，收集有关围手术期恶心呕吐管理的临床决策、最佳实践、系统评价、证据总结和专家共识的相关指南。检索时间为各数据库建库至2022年1月。两位作者独立评估纳入文献的质量，并提取和总结符合质量标准的证据。
共纳入22项研究，包括1项最佳实践、2篇临床决策文章、7篇证据总结、1篇临床指南、9篇系统评价和2篇专家共识。从危险因素、评估方法、多模式预防策略、健康教育、非药物干预、药物预防、术后镇痛管理策略和组织管理7个方面总结了37条证据。
医疗团队应根据科室特点和临床实际选择最佳证据，科学管理患者围手术期恶心呕吐，降低恶心呕吐的发生率和严重程度，促进患者加速康复。
