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An Evidence-Based Medical Review on Promoting Gastrointestinal Function Recovery After Colorectal Cancer Surgery

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机构: [1]School of Nursing, Dali University, Dali, 671000, People's Republic of China. [2]Department of General Surgery, Third People's Hospital of Yunnan Province, Kun Ming, 650000, People's Republic of China. [3]Department of Surgical Oncology, the First Affiliated Hospital of Kunming Medical University, Kun Ming, 650000, People's Republic of China. [4]Department of Nursing, Shanghai Seventh People's Hospital, Shanghai, 200137, People's Republic of China. [5]Department of Emergency, Third People's Hospital of Yunnan Province, Kun Ming, 650000, People's Republic of China.
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关键词: colorectal cancer evidence-based nursing evidence summary gastrointestinal function recovery postoperative

摘要:
The objective of this study was to search for, evaluate, and summarize data related to a faster postoperative recovery in patients with colorectal cancer (CRC) based on literature from China as well as internationally. This will serve as an evidence-based foundation for the clinical implementation of enhanced postoperative recovery of gastrointestinal function in patients with CRC.Based on the hierarchical "6S" evidence model, we conducted a systematic search of computerized decision-support systems, guideline websites, as well as domestic and international databases for evidence, guidelines, expert consensus statements, clinical decision-making, best practices, evidence summaries, and systematic reviews of interventions focusing on accelerating gastrointestinal function rehabilitation after CRC surgery. The time limit for the search was from the date of creation of the database to January 2023. Two researchers evaluated the quality of the literature that was included, and we extracted data and summarized the evidence from those publications that fulfilled the quality criteria.The review included a total of 21 publications, comprising 6 guidelines, 6 systematic reviews, 3 expert consensus statements, 4 randomized controlled trials, and 2 evidence summaries. We summarized 51 best evidence findings across five areas: organizational management, preoperative risk assessment, education, intraoperative monitoring, and postoperative management.There is a wide variety and wealth of information available on interventions to promote enhanced postoperative recovery of gastrointestinal function in patients with CRC. The use of evidence is discussed, keeping in mind the practical situation in China.© 2024 Zhao et al.

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大类 | 3 区 医学
小类 | 4 区 卫生保健与服务
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Q2 HEALTH CARE SCIENCES & SERVICES

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第一作者:
第一作者机构: [1]School of Nursing, Dali University, Dali, 671000, People's Republic of China.
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通讯机构: [3]Department of Surgical Oncology, the First Affiliated Hospital of Kunming Medical University, Kun Ming, 650000, People's Republic of China. [5]Department of Emergency, Third People's Hospital of Yunnan Province, Kun Ming, 650000, People's Republic of China. [*1]Department of Emergency, Third People’s Hospital of Yunnan Province, No. 292 of Beijing Road, Guandu District, Kun Ming, 650000, People’s Republic of China [*2]Department of Surgical oncology, The First Affiliated Hospital of Kunming Medical University, Kun Ming, 650000, People’s Republic of China
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