非藥物干預(yù)促進婦科術(shù)后病人胃腸功能恢復(fù)的最佳證據(jù)總結(jié)

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Abstract Objective：To summarize the best evidence of non-pharmacological intervention for postoperative gastrointestinal function recovery in gynecological patients and to provide a reference for improving the management of non-pharmacological intervention for postoperative gastrointestinal function recovery in gynecological patients.Methods：Based on the "6S" evidence model，clinical decision-making，best practices，guidelines，evidence summary，expert consensus，and systematic reviews on non-pharmacological interventions for postoperative gastrointestinal function recovery in gynecological patients were retrieved from UpToDate，BMJ Best Practice，the British National Institute for Healthcare Excellence，the Ontario Registered Nurses Association of Canada，Yimaitong Guide Network，the American Society of Anesthesiologists，the official website of the Anesthesia Branch of the Chinese Medical Association，and the Cochrane Library，PubMed，EMbase，Scopus，Chinese Biomedical Literature Service System，China National Knowledge Infrastructure （CNKI），WanFang Database，etc. The search time was limited from establishing the database to March 22，2023. Two researchers independently conducted the literature quality assessment;four researchers conducted evidence extraction，translation，and integration.Results：A total of 29 documents were included，including 6 clinical decision-making articles，2 guidelines，7 expert consensus articles，and 14 systematic reviews. A total of 18 pieces of best evidence were summarized in 6 aspects：providing enteral nutrition in the early postoperative period，early postoperative activities，drinking coffee，chewing gum，traditional Chinese medicine technology，and health education.Conclusion：The summarized evidence could provide a basis for clinical medical staff to perform non-pharmacological intervention management practices for postoperative gastrointestinal function recovery in gynecological patients. During clinical application，it is necessary to fully consider the clinical scenario，combine the judgment of professionals and the wishes of the patient，follow the principle of individualization，analyze the obstacles and facilitators to the application of evidence，and prudently apply the evidence to clinical practice.

Keywords gynecology patient;gastrointestinal function;non-pharmacological intervention;evidence summary;evidence-based nursing

摘要 目的：總結(jié)非藥物干預(yù)促進婦科術(shù)后病人胃腸功能恢復(fù)的最佳證據(jù)，為完善婦科術(shù)后病人胃腸功能恢復(fù)的管理提供參考。（剩余22934字）