Summary of best evidence for target temperature management in stroke patients
10.3760/cma.j.cn115682-20230522-02013
- VernacularTitle:脑卒中患者目标体温管理的最佳证据总结
- Author:
Jiumei CAI
1
;
Wei CHEN
;
Li WU
;
Xiaoqing ZHAN
;
Chunmei YIN
;
Minmin REN
;
Xilan ZHENG
Author Information
1. 遵义医科大学附属医院神经外科，遵义 563099
- Keywords:
Stroke;
Target temperature management;
Hypothermia, induced;
Evidence-based nursing;
Evidence summary
- From:
Chinese Journal of Modern Nursing
2023;29(34):4650-4657
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrieve, evaluate, and sum up the evidence on target temperature management in stroke patients, and summarize the best evidence.Methods:Based on the "6S" pyramid model, clinical practice guidelines, expert consensus, evidence summary, and systematic review on target temperature management in stroke patients were searched from top to bottom in British Medical Journal Best Practice, UpToDate, Joanna Briggs Institute Evidence-Based Health Care Center, Guidelines International Network, Agency for Healthcare Research and Quality, National Institute for Health and Clinical Excellence, Scottish Intercollegiate Guidelines Network, Registered Nurses' Association of Ontario, American Heart Association, American Stroke Association, European Stroke Organization, Medlive, Cochrane Library, PubMed, Embase, Web of Science, China National Knowledge Infrastructure, WanFang Data, VIP and China Biology Medicine Disc. The search period was from database establishment to October 7, 2022. Two researchers received evidence-based nursing training independently evaluated the quality of the article, extracted, integrated, and summarized the best evidence.Results:A total of 12 articles were included, including three clinical practice guidelines, four systematic reviews, and five expert consensuses. 24 best pieces of evidence were summarized from five aspects, involving target temperature population, target temperature implementation, complication monitoring, nutritional support, and prognosis evaluation.Conclusions:This study adopts an evidence-based approach to systematically summarize the best evidence for target temperature management in stroke patients, which can provide the best decision-making basis for clinical medical and nursing staff to manage temperature in stroke patients, further standardize temperature monitoring and management, and offer scientific basis for future research and practice.
