急性胸痛护理临床实践指南的构建

Construction of clinical practice guideline for acute chest pain nursing

目的构建急性胸痛护理临床实践指南(以下简称指南),为急性胸痛患者自社区医疗、院前急救到急诊科、专科治疗以及二级预防的护理提供实践依据。方法严格按照循证护理实践指南制订方法,撰写指南计划书并在国际实践指南注册平台完成注册,在指南指导委员会监督下,共识专家组与制订工作组共同构建指南草案,并由外审专家组进行评审,修改并达成意见一致后形成正式指南。结果指南推荐意见涵盖院前急救、安全转运、预检分诊、疼痛管理、氧疗管理、手术管理、药物管理、心脏康复、胸痛中心建设、培训教育10个方面的内容,共57条推荐意见。结论该指南是根据最佳证据、结合临床医护人员专业判断,并充分纳入患者意愿及价值观形成的循证指南,可为临床护士针对急性胸痛患者护理提供指导和参考。

Objective To develop the"Clinical practice guideline for nursing of acute chest pain"to provide practical basis for the nursing of patients with acute chest pain from community medical care,pre-hospital emergency care to emergency department,specialized treatment and secondary prevention.Methods Instrict accordance with the method of formulating evidence-based nursing practice guideline,the guideline protocowl as writen and registered on the international practice guideline registration platform.Under the supervision of the guideline guidance committee,the consensus expert group and the development working group jointly constructed the draft of the guideline,which was reviewed by the external audit expert group,revised and agreed to form a formal guideline.Results The guideline included 10 aspects,including pre-hospital first aid,safe transport,pre-examination and triage,pain management,oxygen therapy management,surgery management,drug management,cardiac rehabilitation,chest pain center construction,training and education,and 57 recommendations in total.Conclusion The guideline is an evidence-based guideline based on the best evidence,combined with the professional judgment of clinical doctors and nurses,and the patient preference and value,which can provide practical basis for clinical nursing staff to care for patients with acute chest pain.