儿童扁桃体切除术后疼痛管理的最佳证据总结

目的 检索并总结儿童扁桃体切除术后疼痛管理的相关证据,为临床提供参考,以促进儿童扁桃体切除术后疼痛的规范化管理,并减轻扁桃体切除术后患儿的疼痛。方法 应用循证护理的方法,针对儿童扁桃体切除术后疼痛管理提出问题,检索相关文献,采用澳大利亚JBI循证卫生保健中心的文献评价标准和证据分级系统,对获得的文献进行质量评价和证据分级。结果 共筛选文献14篇,包括临床决策3篇,指南2篇,证据总结1篇,系统评价8篇;结合专业人员的判断,从疼痛的识别和评估、疼痛管理的障碍因素、药物性干预措施、非药物性干预措施、围手术期健康教育5个方面的内容进行证据总结,形成30条最佳证据。结论 本研究总结了目前关于儿童扁桃体切除术后疼痛管理的最佳证据,可为临床医护人员提供循证依据。通过应用最佳证据,以科学的方法管理和降低儿童扁桃体切除术后疼痛,进而提高护理质量,提升家属满意度。

Best Evidence Summary for Post-tonsillectomy Pain Management in Children

Objectives To retrieve and summarize the evidence of post-tonsillectomy pain management in children and to provide references for clinical practice and promote standardized management to alleviate the pain. Methods With the method of evidence-based nursing,the problems of post-tonsillectomy pain management in children were raised. Relevant literatures were searched,and the literature evaluation standard and evidence grading system of JBI evidence-based health care center in Australia were used to evaluate the quality and evidence grading of the obtained literatures. Results A total of 14 articles were selected, including 3 clinical decisions, 2 guidelines, 1 evidence summary and 8 systematic reviews. Thirty best evidences were summarized from the five aspects of pain recognition and evaluation, obstacle factors of pain management, pharmaceutical intervention measure, non-pharmaceutical intervention measures and perioperative health education. Conclusion This study summarizes the best evidence of pain management after tonsillectomy in children, which provides evidence for clinical professionals. The best evidence is conducive to scientifically managing and reducing post-tonsillectomy pain in children,and to improving the quality of care and family satisfaction.