中华护理杂志 ›› 2023, Vol. 58 ›› Issue (12): 1489-1495.DOI: 10.3761/j.issn.0254-1769.2023.12.012
收稿日期:
2022-12-26
出版日期:
2023-06-20
发布日期:
2023-06-25
通讯作者:
吴玲玲,E-mail:15921405585@163.com作者简介:
许华娇:女,本科,主管护师,E-mail:xuhuajiao66@163.com
基金资助:
XU Huajiao(), WU Lingling(), ZHANG Qi
Received:
2022-12-26
Online:
2023-06-20
Published:
2023-06-25
摘要:
目的 系统检索、评价并综合ICU患者胰岛素静脉输注管理的最佳证据,为临床护理实践提供参考。方法 计算机检索BMJ最佳临床实践、国际指南协作网、英国国家卫生与临床优化研究所指南网、美国国立指南网、加拿大安大略注册护士协会指南网、苏格兰院际指南网、澳大利亚乔安娜布里格斯研究所循证卫生保健中心图书馆、Cochrane Library、PubMed、Embase、CINAHL、UpToDate、中国生物医学文献数据库、中国知网、万方数据库及临床指南应用程序中关于ICU患者胰岛素静脉输注管理的最佳临床实践、指南、临床决策、系统评价、证据总结、专家共识。检索时限为建库至2022年8月31日。由2名研究人员独立进行文献筛选和质量评价,根据主题对证据进行提取、总结。结果 最终纳入8篇文献,包括2篇指南、1篇系统评价、4篇证据总结、1篇专家共识,形成血糖控制目标、血糖监测技术、胰岛素输注方案、低血糖处置4个主题,共19条最佳证据。 结论 该研究总结了ICU患者静脉输注胰岛素时血糖监测、胰岛素输注及低血糖处置等最佳证据,为临床护理实践提供了依据。护理人员可结合临床实际情境个性化地进行证据应用,促进ICU静脉胰岛素输注患者的科学管理。
许华娇, 吴玲玲, 张琦. ICU患者胰岛素静脉输注管理的最佳证据总结[J]. 中华护理杂志, 2023, 58(12): 1489-1495.
XU Huajiao, WU Lingling, ZHANG Qi. Summary of best evidence for the management of insulin intravenous infusion in ICU patients[J]. Chinese Journal of Nursing, 2023, 58(12): 1489-1495.
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