Original Article
Summary of best evidence for target temperature management in stroke patients
Cai Jiumei, Chen Wei, Wu Li, Zhan Xiaoqing, Yin Chunmei, Ren Minmin, Zheng Xilan
Published 2023-12-06
Cite as Chin J Mod Nurs, 2023, 29(34): 4650-4657. DOI: 10.3760/cma.j.cn115682-20230522-02013
Abstract
ObjectiveTo retrieve, evaluate, and sum up the evidence on target temperature management in stroke patients, and summarize the best evidence.
MethodsBased on the "6S" pyramid model, clinical practice guidelines, expert consensus, evidence summary, and systematic review on target temperature management in stroke patients were searched from top to bottom in British Medical Journal Best Practice, UpToDate, Joanna Briggs Institute Evidence-Based Health Care Center, Guidelines International Network, Agency for Healthcare Research and Quality, National Institute for Health and Clinical Excellence, Scottish Intercollegiate Guidelines Network, Registered Nurses' Association of Ontario, American Heart Association, American Stroke Association, European Stroke Organization, Medlive, Cochrane Library, PubMed, Embase, Web of Science, China National Knowledge Infrastructure, WanFang Data, VIP and China Biology Medicine Disc. The search period was from database establishment to October 7, 2022. Two researchers received evidence-based nursing training independently evaluated the quality of the article, extracted, integrated, and summarized the best evidence.
ResultsA total of 12 articles were included, including three clinical practice guidelines, four systematic reviews, and five expert consensuses. 24 best pieces of evidence were summarized from five aspects, involving target temperature population, target temperature implementation, complication monitoring, nutritional support, and prognosis evaluation.
ConclusionsThis study adopts an evidence-based approach to systematically summarize the best evidence for target temperature management in stroke patients, which can provide the best decision-making basis for clinical medical and nursing staff to manage temperature in stroke patients, further standardize temperature monitoring and management, and offer scientific basis for future research and practice.
Key words:
Stroke; Target temperature management; Hypothermia, induced; Evidence-based nursing; Evidence summary
Contributor Information
Cai Jiumei
Neurosurgery Department, Affiliated Hospital of Zunyi Medical University, Zunyi 563099, China
Neurosurgery Department, the Affiliated Hospital of Guizhou Medical University, Guiyang 555004, China
Chen Wei
Neurosurgery Department, Affiliated Hospital of Zunyi Medical University, Zunyi 563099, China
Wu Li
School of Nursing, Zunyi Medical University, Zunyi 563006, China
Zhan Xiaoqing
School of Nursing, Zunyi Medical University, Zunyi 563006, China
Yin Chunmei
School of Nursing, Zunyi Medical University, Zunyi 563006, China
Ren Minmin
School of Nursing, Zunyi Medical University, Zunyi 563006, China
Zheng Xilan
Gastrointestinal Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi 563099, China