急性颈脊髓损伤围手术期临床护理常见问题专家共识

Expert Consensus on Common Problems in Perioperative Clinical Nursing of Acute Cervical Spinal Cord Injury

为规范急性颈脊髓损伤患者救治过程中的护理操作,指导临床实践,促进临床对急性颈脊髓损伤患者的规范化护理。通过查阅国内外文献,拟定临床急性颈脊髓损伤救治过程中的护理常见问题专家共识初稿,结合专家意见修改相应条目,评定证据等级和推荐等级,形成共识终稿。本共识总结了急性颈脊髓损伤患者的院前急救、病史采集与评估、病情监测与观察、用药指导,颈部固定、呼吸道护理、消化道护理、泌尿系护理、皮肤护理、疼痛护理、体位护理、心理护理、功能锻炼等方面的最新证据,内容覆盖救治过程中的各个关键环节。共识条目简单明了,易于执行,能够为临床护理实践提供指引,有助于解决临床问题,但仍需要进一步的理论和实证研究验证。

In order to standardize the nursing operation in the treatment of patients with acute cervical spinal cord injury,guide clinical practice and promote the standardized nursing of patients with acute cervical spinal cord injury.By consulting domestic and foreign literatures,the first draft of expert consensus on common nursing problems in the treatment of clinical acute cervical spinal cord injury was drawn up,and the corresponding items were revised in combination with expert opinions,and the evidence level and recommendation level were evaluated to form the final draft of consensus.This consensus summarizes the latest evidence of pre-hospital first aid,medical history collection and evaluation,condition monitoring and observation,medication guidance,neck fixation,respiratory care,digestive tract care,urinary care,skin care,pain care,posture care,psychological care and functional exercise for patients with acute cervical spinal cord injury,covering all key links in the treatment process.The consensus item is simple and easy to implement,which can provide guidance for clinical nursing practice and help solve clinical problems,but it still needs further theoretical and empirical research to verify.