中华护理杂志 ›› 2022, Vol. 57 ›› Issue (24): 3046-3053.DOI: 10.3761/j.issn.0254-1769.2022.24.017
梁军利(), 薛珊, 刘磊, 靳英辉, 尹彦玲, 王瑛玮, 魏淑艳, 李来有()
收稿日期:
2022-03-23
出版日期:
2022-12-20
发布日期:
2022-12-23
通讯作者:
李来有,E-mail:lilaiyou@126.com作者简介:
梁军利:女,硕士,副主任护师,E-mail:siyuanliangjunli@163.com
LIANG Junli(), XUE Shan, LIU Lei, JIN Yinghui, YIN Yanling, WANG Yingwei, WEI Shuyan, LI Laiyou()
Received:
2022-03-23
Online:
2022-12-20
Published:
2022-12-23
摘要:
目的 提炼并总结儿科重症监护病房(pediatric intensive care unit,PICU)机械通气患儿气管插管非计划性拔管预防策略的最佳证据,为临床实践提供参考依据。 方法 系统检索国内外计算机决策支持系统、指南网、数据库及相关学会网站中与机械通气患儿气管插管非计划性拔管预防策略有关的文献,检索时限为2010年1月—2022年1月,文献类型包括临床决策、指南、证据总结、系统评价、专家共识。由4名研究者对纳入文献进行评价和证据提取。 结果 共纳入14篇文献,其中指南6篇、专家共识2篇、系统评价6篇。从气管插管非计划性拔管的危险因素、气管插管及气道管理、镇静评估与管理、镇痛评估与管理、谵妄监测与预防、组织管理6个方面总结了25条最佳证据。 结论 该研究总结的最佳证据为PICU机械通气患儿气管插管非计划性拔管的预防提供循证依据。应用证据前,医护人员应评估临床情景及障碍因素,促使证据有效、安全地向临床转化。
梁军利, 薛珊, 刘磊, 靳英辉, 尹彦玲, 王瑛玮, 魏淑艳, 李来有. 机械通气患儿气管插管非计划性拔管预防策略的最佳证据总结[J]. 中华护理杂志, 2022, 57(24): 3046-3053.
LIANG Junli, XUE Shan, LIU Lei, JIN Yinghui, YIN Yanling, WANG Yingwei, WEI Shuyan, LI Laiyou. Summary of the best evidence for the preventive strategies of unplanned endotracheal extubation in children with mechanical ventilation[J]. Chinese Journal of Nursing, 2022, 57(24): 3046-3053.
表4 机械通气患儿气管插管非计划性拔管预防策略的最佳证据
Table 4 Summary of the best evidence for the preventive strategies of unplanned endotracheal extubation in children with mechanical ventilation
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