关键词: 脊柱, 手术, 便秘, 循证护理学

Abstract: Objective: To select, evaluate and summarize the best evidence for the prevention and management of constipation after spinal surgery. Methods: For the management of constipation in patients after spinal surgery, all the evidences, including clinical decision, guideline, evidence summary and expert consensus, were systematically searched in Up To Date, PubMed, international spinal cord society(ISCoS), Wanfang and other Chinese and English databases and related guideline networks. Two researchers independently evaluated literature quality and extracted evidence. The retrieval period was from the inception of databases to September, 2020. Results: A total of 14 literatures were included, and 47 best evidences were summarized from 5 aspects: risk assessment, diagnosis and screening, prevention and management strategies, evaluation indicators, and patient education. Conclusion: Nurses in spinal surgery can improve constipation management strategies and reduce the incidence of constipation by combining the evidence summarized in this study. Evidence users should select best evidence with consideration of clinical settings so as to improve the satisfaction of doctors and patients.

Key words: Spine, Surgery, Constipation, Evidence-based nursing