非药物干预促进胃肠道恶性肿瘤患者术后功能恢复的最佳证据总结

目的 全面检索和分析非药物干预在促进胃肠道恶性肿瘤患者术后胃肠道功能恢复的相关证据,并对最佳证据进行总结.方法 按照6S证据资源金字塔模型,通过计算机检索UpToDate、Cochrane clinical answers、美国国立指南库、英国国家卫生与临床优化研究所、新西兰指南协作组、医脉通、Cochrane Lib...

Evidence summary for nonpharmacological interventions in promoting gastrointestinal function recovery after gastrointestinal malignancies surgery

Objective To comprehensively retrieve and analyze the relevant evidence of non-pharmacological interventions in promoting the recovery of gastrointestinal function after gastrointestinal malignant tumor surgery,and to summarize the best evidence. Methods According to the 6S model of evidence-based resources,computerized search in websites and databases such as UpToDate,Cochrane clinical answers,National Guideline Clearing house,the National Institute for Health and Care Excellence,New Zealand Guidelines Group,Yimaitong,Cochrane Library,PubMed,CNKI,Wanfang Data,VIP,was conducted to collect relevant clinical decisions,guidelines,expert consensuses,evidence summaries,and systematic reviews on non-pharmaceutical interventions in promoting gastrointestinal function recovery after gastrointestinal malignant tumor surgery. 3 researchers evaluated the quality of the included literature independently,and combined the professional judgment to standardize the literature information extraction. Results A total of 15 articles were included,including 4 articles on clinical decision-making,1 guideline,3 expert consensuses,and 7 systematic reviews. 12 pieces of the best evidence were formed,including topics such as multimodal intervention,preventive gastrointestinal decompression,early postoperative activities,chewing gum,drinking coffee,and acupuncture therapy. Conclusion Medical staff can follow the best evidence to formulate intervention programs to promote the recovery of gastrointestinal function for patients with gastrointestinal malignant tumors after surgery,and promote evidence-based practice.