Summary of the best evidence for the prevention and management of perioperative gastrointestinal dysfunction in patients with colorectal cancer
10.3760/cma.j.cn211501-20241021-02875
- VernacularTitle:结直肠癌患者围手术期胃肠功能障碍预防及管理的最佳证据总结
- Author:
Xinyi CHEN
1
;
Chunmei WANG
;
Haijuan YUAN
;
Fang FANG
;
Xiaojuan GUO
Author Information
1. 扬州大学护理学院，扬州 225009
- Publication Type:Journal Article
- Keywords:
Colorectal neoplasms;
Perioperative nursing;
Gastrointestinal function recovery;
Evidence-based nursing;
Evidence summary
- From:
Chinese Journal of Practical Nursing
2025;41(30):2336-2344
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically retrieve, extract and summarize the best evidence regarding the prevention and management of perioperative gastrointestinal dysfunction in patients with colorectal cancer, and to provide an evidence-based basis for clinical nursing practice.Methods:All evidence on the prevention and management of perioperative gastrointestinal dysfunction in colorectal cancer patients in various domestic and international databases and websites such as UpToDate, China national knowledge infrastructure, etc. were searched according to the "6S" pyramid model, including clinical decisions, guidelines, expert consensus, systematic evaluations, and randomized controlled trials from the time of database construction to August 15, 2024, on a top-to-bottom basis. Literature screening, quality assessment, and evidence extraction were performed independently by 2 nursing researchers.Results:A total of 19 documents were finally included, included 4 guidelines, 3 expert consensus, 7 systematic evaluations, 1 Meta-analysis, and 4 randomized controlled trials, and 35 pieces of evidence were summarized in 6 areas, including screening and assessment, build a multidisciplinary team, preoperative preparation, intraoperative monitoring, postoperative care, and evaluation of outcomes.Conclusions:The evidence summarized in this study is both scientifically rigorous and practically applicable, and can be used by healthcare professionals to design care plans for colorectal cancer patients that accelerate the recovery of gastrointestinal function, thereby promoting evidence-based clinical nursing practice.
