收稿日期: 2020-12-23
网络出版日期: 2021-10-26
Evidence summary for prevention of pressure ulcer in patients with prone position ventilation
目的 总结国内外预防俯卧位通气患者压力性损伤的相关证据。方法 系统检索UpToDate、英国国家健康和保健医学研究所、BMJ最佳临床实践、美国伤口造口失禁护理学会、Cochrane Library、PubMed、中国知网等数据库的相关指南、系统评价、专家共识和证据总结,采用澳大利亚JBI循证卫生保健中心的文献评价标准和证据分级系统,对不同类型研究分别进行文献质量评价及证据级别评定。结果 本研究共纳入10篇文献,其中指南5篇、系统评价2篇、专家共识1篇、证据总结2篇。最佳证据包括风险评估、皮肤和组织评估、体位变换、皮肤保护、医疗器械相关性压力性损伤的预防、监管与培训6个方面,共30条。结论 医务人员应结合临床情境按照相关级别的循证医学证据,选择有针对性的最佳证据,规范俯卧位通气患者的管理,减少相关压力性损伤的发生,提高护理质量。
彭操 , 陈秀文 , 任华 , 鄢斌 , 黄又喜 . 俯卧位通气患者压力性损伤预防的最佳证据总结[J]. 中华护理教育, 2021 , 18(10) : 935 -941 . DOI: 10.3761/j.issn.1672-9234.2021.10.015
Objective To summarize the best evidence of prevention of pressure ulcer in patients with prone position ventilation. Methods We systematically searched for evidence in UpToDate,National Institute for Health and Care Excellence,British Medical Journal Best Practice,Wound,Ostomy and Continence Nurses Society,Cochrane Library,PubMed,CNKI,etc. Guidelines,systematic evaluation,expert consensus and evidence summary were all collected. Results A total of 10 articles were included,including 5 guidelines,2 systematic evaluations,1 expert consensus,and 2 evidence summary. The best evidence included risk assessment,skin and tissue assessment,repositioning,skin protection,prevention of pressure injury related to medical devices,supervision and training with a total of 30 items. Conclusion Medical staff should select the best tailored evidence according to the evidence level. Besides,they should also standardize the management of patients with prone ventilation,reduce the occurrence of related pressure ulcer,and improve the quality of care.
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