Full
Outline
To summarize the best evidence for early postoperative respiratory rehabilitation in patients undergoing cardiopulmonary bypass cardiac surgery,and to provide support for clinical practice.
An evidence-based question was constructed based on the PIPOST model.Following the "5S" model for evidence retrieval,relevant literature on early postoperative respiratory rehabilitation in patients undergoing cardiopulmonary bypass cardiac surgery was systematically searched in domestic and international databases and related websites.The search period ranged from database inception to February 28,2025.Literature quality assessment and evidence extraction were performed independently by two researchers.
A total of 20 articles were included,consisting of 2 clinical decisions,2 guidelines,2 expert consensus reports,8 systematic reviews,and 6 randomized controlled trials.Finally,27 pieces of evidence were summarized across 12 themes,namely multidisciplinary team,timing of initiation,mechanical ventilation management,sedation and analgesia,lung recruitment strategies,respiratory muscle training,assisted breathing function training,positioning management and early mobilization,safety monitoring,nutritional management,pulmonary embolism prevention,and psychological care.
The best evidence for early postoperative respiratory rehabilitation in patients undergoing cardiopulmonary bypass cardiac surgery,as summarized in this study,covers aspects such as intervention,monitoring,and support.It is recommended that nursing staff apply the evidence selectively based on the specific clinical context to improve the quality of respiratory rehabilitation.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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