Best evidence summary of non-pharmacological management of venous thromboembolism in patients with haemorrhagic stroke during perioperative period
10.3969/j.issn.1671-8283.2024.11.009
- VernacularTitle:出血性脑卒中患者围术期静脉血栓栓塞症非药物管理的证据总结
- Author:
Li WU
1
;
Jiumei CAI
;
Yangyulin LI
;
Darong LU
;
Jiexin SHENG
;
Wei CHEN
Author Information
1. 遵义医科大学附属医院神经外科,贵州遵义,563000;遵义医科大学护理学院,贵州遵义,563003
- Publication Type:Journal Article
- Keywords:
haemorrhagic stroke;
venous thromboembolism;
perioperative period;
non-pharmacological management;
evidence summary;
evidence-based nursing
- From:
Modern Clinical Nursing
2024;23(11):62-72
- CountryChina
- Language:Chinese
-
Abstract:
Objective To retrieve,evaluate and summarise the relevant evidence in non-pharmacological management of venous thromboembolism in patients with haemorrhagic stroke during perioperative period so as to provide references for clinical practice. Methods According to the "6S" evidence pyramid mode,evidence was retrieved from top to bottom across databases such as BMJ Best Practice,UpToDate,JBI Evidence-Based Healthcare Centre,the National Guideline Clearinghouse (NGC),the National Institute for Health and Care Excellence (NICE),the Scottish Intercollegiate Guidelines Network (SIGN),the Registered Nurses' Association of Ontario (RNAO) guidelines network,the Canadian Heart and Stroke Foundation (HSF),the American Heart Association/American Stroke Association (AHA/ASA),the Neuro-Critical Care Society (NCS),the European Stroke Organization (ESO),Cochrane Library,PubMed,Medline,CNKI,Web of Science,Embase,the China Biomedical Literature Database,Wanfang Data,Medlive,VIP,and the Chinese Medical Journal Full-Text Database. The search focused on non-pharmacological management of perioperative venous thromboembolism in haemorrhagic stroke patients,including guidelines for clinical practice,expert consensus,systematic reviews and evidence summaries. The searched literatrue was from the inception of the databases to April 11th,2024. Two researchers independently evaluated the quality of the literature,extracted,integrated and summarised the best evidences. Results A total of 23 articles were included,comprising 12 guidelines,5 systematic reviews,4 expert consensuses and 2 evidence summaries. Thirty-one pieces of the best evidence were summarised and integrated into 5 topics,including multidisciplinary teamwork,risk assessment and screening,basic prevention,mechanical prophylaxis and health education. Conclusion This study has summarised the best evidence for non-pharmacological management of venous thromboembolism in patients with haemorrhagic stroke during the perioperative period. It provides evidence-based references for clinical medical staff to prevent and manage venous thromboembolism in patients with hemorrhagic stroke during perioperative period.
