急诊成人创伤患者疼痛管理的最佳证据总结

Summary of the best evidence for pain management in emergency adult patients with trauma

目的系统检索、评价和汇总急诊成人创伤患者疼痛管理的相关证据,为临床实践提供循证依据。方法计算机检索国内外数据库中关于急诊成人创伤患者疼痛管理的所有证据,包括临床实践指南、证据总结、临床决策、专家共识、系统评价。检索时间为建库至2022年12月。由2名研究人员独立进行文献筛选和质量评价,根据主题进行证据提取、归纳和汇总。结果共纳入16篇文献,其中临床决策5篇,指南6篇、专家共识3篇,系统评价2篇。总结形成36条最佳证据,包括急诊成人创伤患者疼痛管理原则、疼痛评估方式、疼痛给药原则、药物性干预措施、非药物性干预措施及疼痛管理的动态监护。结论医护人员在临床应用中可结合创伤患者的实际情况,制订相应的护理措施,以科学的方法解决急诊成人创伤患者的疼痛问题,改善生存质量。

Objective To retrieve,evaluate and integrate the best evidence of pain management in emergency adult patients with trauma,and to provide references for clinical nursing practice.Methods The best evidence of pain management in emergency adult patients with trauma were systematically searched in domestic and international databases.The retrieval period is from the establishment of databases to December,2022.There were 2 researchers evaluating the quality of the literature and extracting the data.Results Total of 16 articles were selected,including 5 top clinical decisions,6 guidelines,3 expert consensuses,2 systematic review.36 pieces of best evidence were formed from 6 aspects,including pain management principles,pain assessment methods,pain medication principles,pharmacological interventions,non pharmacological interventions and dynamic monitoring of pain management.Conclusions Medical staff can formulate corresponding nursing measures in clinical applications based on the actual situation of trauma patients,and use scientific methods to solve the pain problem of emergency adult trauma patients and improve their quality of life.