A systematic review of guidelines for the evaluation and prevention of postoperative nausea and vomiting in adults
10.3760/cma.j.cn115682-20220718-03490
- VernacularTitle:成人术后恶心呕吐评估和预防指南的系统评价
- Author:
Meiyi ZHANG
1
;
Jigui SONG
;
Kai ZHOU
;
Xiaoxia LI
;
Huahua LI
;
Qian WANG
;
Xiuyun XIAO
;
Zhihong HUANG
;
Yanni ZHOU
Author Information
1. 南方医科大学南方医院整形外科，广州 510515
- Keywords:
Postoperative nausea and vomiting;
Adults;
Guideline;
Systematic review
- From:
Chinese Journal of Modern Nursing
2023;29(17):2274-2281
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To conduct quality evaluation and content analysis of adult postoperative nausea and vomiting (PONV) guidelines, so as to provide reference for management of clinical PONV.Methods:Web of Science, Embase, PubMed, UpToDate, SinoMed, Wanfang Database, China National Knowledge Infrastructure, VIP, domestic and foreign clinical practice guidelines and related professional association websites were systematically searched, and the search period was from database establishment to May 6, 2022. Four researchers independently evaluated the guidelines that met the inclusion and exclusion criteria using a clinical guideline research and evaluation system, and summarized the recommendations of the guidelines.Results:Finally, a total of 15 guidelines were included in this study. The overall quality evaluation of the guide was 3 A-level recommendations and 12 B-level recommendations. The average standardization percentages for 6 areas were 81.57% for scope and purpose, 49.91% for participants, 65.38% for rigor, 89.54% for clarity, 34.86% for applicability and 55.42% for independence. A total of 18 recommendations were summarized from five aspects, such as team and organizational management, PONV risk assessment, baseline risk reduction, multimodal prevention of PONV and effectiveness evaluation and monitoring.Conclusions:The guidelines for PONV management mainly come from foreign countries. It is recommended that clinical personnel should learn from foreign guidelines and combine them with domestic clinical situations to localize the recommended opinions and guide the development of clinical practice.
