中华护理杂志 ›› 2020, Vol. 55 ›› Issue (10): 1564-1570.DOI: 10.3761/j.issn.0254-1769.2020.10.022
收稿日期:
2020-02-05
出版日期:
2020-10-15
发布日期:
2020-09-27
通讯作者:
王泠
作者简介:
刘晓黎:女,硕士,主管护师,E-mail: 基金资助:
LIU Xiaoli(),WANG Ling(),WEI Yanshu,WU Xiaozhou
Received:
2020-02-05
Online:
2020-10-15
Published:
2020-09-27
Contact:
Ling WANG
摘要:
目的 检索、评价并整合国内外预防成人术中获得性压力性损伤的相关证据,并对最佳证据进行总结。 方法 检索加拿大安大略注册护士协会、英国国家卫生与临床优化研究所、苏格兰学院间指南网、美国指南网、国际指南网、医脉通、British Medical Journal最佳临床实践、UpToDate、Cochrane Library、乔安娜布里格斯研究所(Joanna Briggs Institute,JBI) Library、PubMed、CINAHL、荷兰医学文摘数据库、中国知网、万方数据库、美国压力性损伤咨询小组官网、美国伤口造口失禁护理协会、美国围手术期注册护士协会等网站的相关指南、系统评价和专家共识。检索时间为建库至2019年12月。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,对不同类型研究进行文献质量评价及证据级别评定。 结果 共纳入文献17篇,其中指南4篇,专家共识1篇,系统评价12篇。结合临床专家判断,总结了27条预防成人术中获得性压力性损伤的证据,包括风险评估、皮肤和组织评估、体位管理、患者交接、体温管理及教育和培训等。 结论 应结合证据形成多科室联合和多学科合作的预防方案。在证据转化时,结合医院特点和临床环境,有针对性地选择最佳证据,规范患者管理,以降低术中获得性压力性损伤的发生率。
刘晓黎,王泠,魏彦姝,吴晓舟. 预防成人术中获得性压力性损伤的最佳证据总结[J]. 中华护理杂志, 2020, 55(10): 1564-1570.
LIU Xiaoli,WANG Ling,WEI Yanshu,WU Xiaozhou. Evidence summary of prevention of intraoperative acquired pressure injury in adult patients[J]. Chinese Journal of Nursing, 2020, 55(10): 1564-1570.
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