中华护理杂志 ›› 2022, Vol. 57 ›› Issue (15): 1886-1892.DOI: 10.3761/j.issn.0254-1769.2022.15.014
王晓瑾(), 黄春荣, 赵慧慧, 黄月华, 蔡敏, 庄水冰, 莫红平()
收稿日期:
2021-09-17
出版日期:
2022-08-10
发布日期:
2022-08-11
通讯作者:
莫红平,E-mail: mohp@mail.sysu.edu.cn作者简介:
王晓瑾:女,硕士,护师,E-mail: wangxj53@mail.sysu.edu.cn
基金资助:
WANG Xiaojin(), HUANG Chunrong, ZHAO Huihui, HUANG Yuehua, CAI Min, ZHUANG Shuibing, MO Hongping()
Received:
2021-09-17
Online:
2022-08-10
Published:
2022-08-11
摘要:
目的 评价并总结重症患者经膀胱腹内压监测管理的相关证据,为临床实践提供参考。 方法 提出循证问题,并系统检索BMJ循证医学库、UpToDate、Cochrane Library、澳大利亚乔安娜布里格斯研究所循证卫生保健中心数据库、英国国家卫生与临床优化研究所网站、美国国立指南库、国际指南协作网、苏格兰学院间指南网、医脉通、加拿大安大略注册护士协会网站、PubMed、中国知网、中国生物医学文献数据库、万方数据库、维普数据库、世界腹腔间隙综合征协会与中国腹腔重症协作组网站等关于经膀胱腹内压监测管理方面的指南、专家共识、证据总结、系统评价等证据,检索时间为建库至2021年6月,由2名研究人员独立对文献进行质量评价和证据级别评定。 结果 共纳入6篇文献,包括4篇指南、1篇专家共识、1篇推荐实践,从体位、零点位置、生理盐水灌注量、监测时机及频率、镇静镇痛方案的使用5个方面汇总11条最佳证据。 结论 该研究规范了经膀胱腹内压监测的方法,有利于提高监测结果的准确性,可为重症患者经膀胱腹内压监测提供参考。医护人员需结合临床情境,考虑患者意愿,审慎地选用证据,从而提高经膀胱腹内压监测结果的准确性,提高护理质量。
王晓瑾, 黄春荣, 赵慧慧, 黄月华, 蔡敏, 庄水冰, 莫红平. 重症患者经膀胱腹内压监测管理的证据总结[J]. 中华护理杂志, 2022, 57(15): 1886-1892.
WANG Xiaojin, HUANG Chunrong, ZHAO Huihui, HUANG Yuehua, CAI Min, ZHUANG Shuibing, MO Hongping. Evidence summary for monitoring and management of intra-abdominal pressure via bladder in critically ill patients[J]. Chinese Journal of Nursing, 2022, 57(15): 1886-1892.
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