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术后远程护理:范围综述。

Telenursing in the postoperative period: a scoping review.

机构信息

Universidade Estadual Paulista "Júlio de Mesquita Filho". Botucatu, São Paulo, Brazil.

出版信息

Rev Bras Enferm. 2024 Jul 29;77(3):e20240066. doi: 10.1590/0034-7167-2024-0066. eCollection 2024.

DOI:10.1590/0034-7167-2024-0066
PMID:39082556
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11290728/
Abstract

OBJECTIVES

to map available evidence on telenursing use in the postoperative period and its impact on patient outcomes.

METHODS

a scoping review, conducted according to the JBI model and the PRISMA-ScR checklist. The search was carried out in the CINAHL, Embase, LILACS, PubMed, Web of Science, SciELO, Scopus and Cochrane Library databases.

RESULTS

twelve studies were included, published between 2011 and 2023, 66.6% of which were in developed countries. Of the positive outcomes, we highlight improved levels of disability, autonomy and quality of life, lower rates of post-operative complications, pain and reduced costs. Telephone monitoring was the most widely used modality, but there were few studies in the pediatric context and in Brazil.

CONCLUSIONS

of the studies, 11 (91.6%) identified at least one positive outcome in telenursing use and none showed negative aspects in the postoperative period. The role of nurses in digital health needs further study.

摘要

目的

绘制远程护理在术后使用及其对患者结局影响的现有证据图谱。

方法

根据 JBI 模式和 PRISMA-ScR 清单进行范围综述。检索 CINAHL、Embase、LILACS、PubMed、Web of Science、SciELO、Scopus 和 Cochrane Library 数据库。

结果

共纳入 12 项研究,发表于 2011 年至 2023 年期间,其中 66.6%来自发达国家。在积极结果中,我们强调了残疾、自主和生活质量的改善,术后并发症、疼痛发生率降低和成本降低。电话监测是最广泛使用的模式,但儿科和巴西的研究较少。

结论

在纳入的研究中,有 11 项(91.6%)研究发现远程护理使用至少有一个积极结果,且术后期间均无不良方面。护士在数字健康中的作用需要进一步研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0989/11290728/d57acce2f7c6/0034-7167-reben-77-03-e20240066-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0989/11290728/0d391a8c6030/0034-7167-reben-77-03-e20240066-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0989/11290728/d57acce2f7c6/0034-7167-reben-77-03-e20240066-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0989/11290728/0d391a8c6030/0034-7167-reben-77-03-e20240066-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0989/11290728/d57acce2f7c6/0034-7167-reben-77-03-e20240066-gf02.jpg

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本文引用的文献

1
The effects of continuous nursing via the WeChat platform on neonates after enterostomy: a single-centre retrospective cohort study.微信平台持续护理对肠造口术后新生儿的影响:一项单中心回顾性队列研究
BMC Nurs. 2023 Jan 12;22(1):13. doi: 10.1186/s12912-023-01177-0.
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Nurse-led telephone follow-up according to the revised nursing outcomes classification for laryngeal carcinoma surgery patients: a randomized controlled trial.根据修订后的护理结局分类法对喉癌手术患者进行护士主导的电话随访:一项随机对照试验。
BMC Nurs. 2022 Oct 17;21(1):281. doi: 10.1186/s12912-022-01054-2.
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Nurse-Led Telehealth Interventions During COVID-19: A Scoping Review.
护士主导的远程医疗干预在 COVID-19 期间的应用:一项范围综述。
Comput Inform Nurs. 2022 Dec 1;40(12):804-813. doi: 10.1097/CIN.0000000000000962.
4
Telemedicine based remote monitoring after liver transplantation: Feasible in a select group and a more stringent control of immunosuppression.远程监测:肝移植术后的远程医疗可行,但需要对免疫抑制进行更严格的控制。
Clin Transplant. 2022 Jan;36(1):e14494. doi: 10.1111/ctr.14494. Epub 2021 Oct 1.
5
Post-discharge after surgery Virtual Care with Remote Automated Monitoring-1 (PVC-RAM-1) technology versus standard care: randomised controlled trial.术后出院后,使用远程自动监测虚拟护理技术(PVC-RAM-1)与标准护理的对比:一项随机对照试验。
BMJ. 2021 Sep 30;374:n2209. doi: 10.1136/bmj.n2209.
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Effectiveness of telerehabilitation on short-term quality of life of patients after esophageal cancer surgery during COVID-19: a single-center, randomized, controlled study.COVID-19期间远程康复对食管癌手术后患者短期生活质量的影响:一项单中心、随机、对照研究
J Gastrointest Oncol. 2021 Aug;12(4):1255-1264. doi: 10.21037/jgo-21-385.
7
Patients' experiences of telenursing follow-up care after bariatric surgery.患者在减重手术后接受远程护理随访的体验。
J Clin Nurs. 2022 Apr;31(7-8):985-994. doi: 10.1111/jocn.15955. Epub 2021 Jul 9.
8
The effect of online training-based continuous nursing care for rectal cancer-patients undergoing permanent colostomy.基于在线培训的延续性护理对永久性结肠造口直肠癌患者的影响。
Am J Transl Res. 2021 Apr 15;13(4):3084-3092. eCollection 2021.
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Rev Esc Enferm USP. 2021 Apr 16;55:e03679. doi: 10.1590/S1980-220X2019023003679. eCollection 2021.
10
The effect of pedometer-supported walking and telemonitoring after disc hernia surgery on pain and disability levels and quality of life.腰椎间盘突出症术后计步器支持的步行和远程监测对疼痛、残疾水平和生活质量的影响。
Int J Nurs Pract. 2021 Apr;27(2):e12917. doi: 10.1111/ijn.12917. Epub 2021 Feb 16.