中华护理杂志 ›› 2022, Vol. 57 ›› Issue (9): 1134-1140.DOI: 10.3761/j.issn.0254-1769.2022.09.016
收稿日期:
2021-09-17
出版日期:
2022-05-10
发布日期:
2022-05-12
通讯作者:
秦毅,E-mail: ntqin1975@163.com作者简介:
张晓梅:女,硕士,副主任护师,护士长,E-mail: tdfyzxm@ntu.edu.cn
基金资助:
ZHANG Xiaomei(), QIN Yi(), CHEN Yu, WANG Lingli, LI Jingyi, WANG Ya
Received:
2021-09-17
Online:
2022-05-10
Published:
2022-05-12
摘要:
目的 检索、评价和总结经中心静脉通路装置采血的相关证据,为临床实践提供参考。 方法 系统检索相关网站及数据库中关于经中心静脉通路装置采血的证据,包括临床决策、系统评价、指南、证据总结和专家共识,检索时间为建库至2021年12月7日。经过循证护理培训的2名研究者对文献质量进行独立评价,并结合专业判断,对符合质量标准的文献进行资料提取。 结果 共纳入7篇文献,其中指南6篇、系统评价1篇。总结的最佳证据包括医护人员培训、采血方法、采集特殊标本、采血质量控制策略4个方面,共27条证据。 结论 医护人员在证据转化过程中应全面评估临床情境和患者个体因素,有针对性地选择并应用最佳证据,以提高经中心静脉通路装置采血的规范性和安全性。
张晓梅, 秦毅, 陈瑜, 王伶俐, 李静逸, 王娅. 经中心静脉通路装置采血的最佳证据总结[J]. 中华护理杂志, 2022, 57(9): 1134-1140.
ZHANG Xiaomei, QIN Yi, CHEN Yu, WANG Lingli, LI Jingyi, WANG Ya. Summary of the best evidence for blood collection from central venous access devices[J]. Chinese Journal of Nursing, 2022, 57(9): 1134-1140.
[1] | 孙红, 陈利芬, 郭彩霞, 等. 临床静脉导管维护操作专家共识[J]. 中华护理杂志, 2019, 54(9):1334-1342. |
Sun H, Chen LF, Guo CX, et al. Expert consensus on venous catheter maintenance[J]. Chin J Nurs, 2019, 54(9):1334-1342. | |
[2] |
Lalthanthuami HT, Kumari MJ, Venkateswaran R, et al. Performance of 3 ml versus 5 ml discarded volume for blood sampling from central venous access device[J]. J Lab Physicians, 2021, 13(2):112-117.
DOI PMID |
[3] |
Zhang YJ, Zhang SD, Chen JH, et al. Blood sampling from peripherally inserted central catheter is effective and safe for patients with head and neck cancers[J]. J Vasc Access, 2021, 22(3):424-431.
DOI URL |
[4] |
Dailey MS, Berger B, Dabu F. Activated partial thromboplastin times from venipuncture versus central venous catheter specimens in adults receiving continuous heparin infusions[J]. Crit Care Nurse, 2014, 34(5):27-42.
DOI PMID |
[5] |
Lippi G, Simundic AM, European Federation for Clinical Chemistry and Laboratory Medicine(EFLM) Working Group for Preanalytical Phase(WG-PRE).The EFLM strategy for harmoniza-tion of the preanalytical phase[J]. Clin Chem Lab Med, 2018, 56(10):1660-1666.
DOI URL |
[6] |
Villalta-García P, López-Herránz M, Mazo-Pascual S, et al. Reliability of blood test results in samples obtained using a 2 ml discard volume from the proximal lumen of a triple-lumen central venous catheter in the critically ill patient[J]. Nurs Crit Care, 2017, 22(5):298-304.
DOI PMID |
[7] |
Lichliter RL, Tremewan LE, Shonka NM, et al. Therapeutic antibiotic serum concentrations by two blood collection methods within the pediatric patient:a comparative effectiveness trial[J]. J Spec Pediatr Nurs, 2018, 23(2):e12212.
DOI URL |
[8] | 胡雁. 循证护理学[M]. 北京: 人民卫生出版社, 2012. |
Hu Y. Evidence-based nursing[M]. Beijing: People’s Medical Publishing House, 2012. | |
[9] | AGREE Next Steps Consortium. The AGREE Ⅱ Instrument[EB/OL].(2017-11-30)[2021-12-12]. https://www.agreetrust.org/wp-con-tent/uploads/2017/12/AGREE-II-Users-Manual-and-23-item-Ins-tru-ment-2009-Update-2017.pdf. |
[10] | 陶国芳, 鲍杨娟, 杨苏, 等. 慢性阻塞性肺疾病患者家庭氧疗管理的最佳证据总结[J]. 中华护理杂志, 2021, 56(7):983-990. |
Tao GF, Bao YJ, Yang S, et al. Evidence summary for the management of home oxygen therapy in patients with chronic obstructive pulmonary disease[J]. Chin J Nurs, 2021, 56(7):983-990. | |
[11] | Shea BJ, Reeves BC, Wells G, et al. AMSTAR 2:a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions,or both[J]. BMJ, 2017, 358:j4008. |
[12] | The Joanna Briggs Institute. Critical appraisal tools[EB/OL].(2017-07-15)[2021-12-12]. https://jbi.global/critical-appraisal-tools. https://jbi.global/critical-appraisal-tools |
[13] | 王春青, 胡雁. JBI证据预分级及证据推荐级别系统(2014版)[J]. 护士进修杂志, 2015, 30(11):964-967. |
Wang CQ, Hu Y. JBI evidence pre-classification and evidence rank system(2014 edition)[J]. J Nurses Train, 2015, 30(11):964-967. | |
[14] | Gorski LA, Hadaway L, Hagle ME, et al. Infusion therapy standards of practice,8th edition[J]. J Infus Nurs, 2021, 44(Suppl 1):S1-S224. |
[15] |
American Society of Anesthesiologists. Practice guidelines for central venous access 2020:an updated report by the American society of anesthesiologists task force on central venous access[J]. Anesthesiology, 2020, 132(1):8-43.
DOI URL |
[16] | Spina R, Mussa B, Tollapi L, et al. Adoption and application in Italy of the principal guidelines and international recommendations on venous access[J]. Minerva Med, 2018, 109(3):153-202. |
[17] |
Kolaček S, Puntis JWL, Hojsak I. ESPGHAN/ESPEN/ESPR/CSPEN guidelines on pediatric parenteral nutrition:venous access[J]. Clin Nutr. 2018, 37(6 Pt B):2379-2391.
DOI PMID |
[18] | Chaves F, Garnacho-Montero J, del Pozo JL, et al. Diagnosis and treatment of catheter-related bloodstream infection: clinical guidelines of the Spanish Society of Infectious Diseases and Clinical Microbiology and(SEIMC) and the Spanish Society of Spanish Society of Intensive and Critical Care Medicine and Coronary Units(SEMICYUC)[J]. Med Intensiva (Engl Ed), 2018, 42(1):5-36. |
[19] |
Ling ML, Apisarnthanarak A, Jaggi N, et al. APSIC guide for prevention of central line associated bloodstream infections (CLABSI)[J]. Antimicrob Resist Infect Control, 2016, 5:16.
DOI URL |
[20] |
Ferreira J, Camargos PAM, Clemente WT, et al. Clinical usefulness of catheter-drawn blood samples and catheter tip cultures for the diagnosis of catheter-related bloodstream infections in neonatology:a systematic review[J]. Am J Infect Control, 2018, 46(1):81-87.
DOI PMID |
[21] | 曹秋君, 吴燕. 预防静脉血液标本溶血的最佳证据总结[J]. 中华护理杂志, 2018, 53(8):1000-1004. |
Cao QJ, Wu Y. Best evidence summary for prevention of he-molysis in venous blood specimen[J]. Chin J Nurs, 2018, 53(8):1000-1004. | |
[22] |
Hjelmgren H, Nilsson A, Andersson-Papadogiannakis N, et al. Retrospective study showed that blood sampling errors risked children’s well-being and safety in a Swedish paediatric tertiary care[J]. Acta Paediatr, 2019, 108(3):522-528.
DOI |
[23] |
Wyant S, Crickman R. Determining the minimum discard volume for central venous catheter blood draws[J]. Clin J Oncol Nurs, 2012, 16(5):454-458.
DOI URL |
[24] |
Dalton KA, Aucoin J, Meyer B. Obtaining coagulation blood samples from central venous access devices:a review of the literature[J]. Clin J Oncol Nurs, 2015, 19(4):418-423.
DOI PMID |
[25] |
Jeon M, Han A, Kang H, et al. A comparison of coagulation test results from heparinized central venous catheter and venipuncture[J]. Blood Coagul Fibrinolysis, 2020, 31(2):145-151.
DOI URL |
[26] | 梁江淑渊, 曾妃, 封秀琴. 护士主导的诊断性失血管理方案在特重度烧伤患者中的应用[J]. 中华护理杂志, 2021, 56(3): 360-363. |
Liang JSY, Zeng F, Feng XQ. Construction and application of a nurse-led diagnostic blood loss management scheme for patients with extremely severe burns[J]. Chin J Nurs, 2021, 56(3):360-363. | |
[27] |
McBride C, Miller-Hoover S, Proudfoot JA. A standard push-pull protocol for waste-free sampling in the pediatric intensive care unit[J]. J Infus Nurs, 2018, 41(3):189-197.
DOI PMID |
[28] |
Steffen K, Doctor A, Hoerr J, et al. Controlling phlebotomy volume diminishes PICU transfusion: implementation processes and impact[J]. Pediatrics, 2017, 140(2):e20162480.
DOI URL |
[29] |
Lokeskrawee T, Muengtaweepongsa S, Patumanond J, et al. Accuracy of laboratory tests drawn by pull-push method from central venous catheterization after routine flushing with 10 ml normal saline in patients with sepsis at the emergency department[J]. Heliyon, 2021, 7(6):e07355.
DOI URL |
[30] |
Byrne D. Comparing the push-pull versus discard blood sample method from adult central vascular access devices[J]. J Infus Nurs, 2016, 39(3):130-135.
DOI PMID |
[31] |
Hess S, Decker M. Comparison of the single-syringe push-pull technique with the discard technique for obtaining blood samples from pediatric central venous access devices[J]. J Pediatr Oncol Nurs, 2017, 34(6):381-386.
DOI URL |
[32] | Baron EJ, Miller JM, Weinstein MP, et al. A guide to utilization of the microbiology laboratory for diagnosis of infectious diseases:2013 recommendations by the Infectious Diseases Society of America(IDSA) and the American Society for Microbiology(ASM)[J]. Clin Infect Dis, 2013, 57(4):e22-e121. |
[33] |
Woods-Hill CZ, Fackler J, Nelson McMillan K, et al. Association of a clinical practice guideline with blood culture use in critically ill children[J]. JAMA Pediatr, 2017, 171(2):157-164.
DOI PMID |
[34] |
Mendez SJ. Evidence-based practice for obtaining blood specimens from a central venous access device[J]. Oncol Nurs Forum, 2012, 39(3):247-251.
DOI PMID |
[35] | Garbin LM, Simões BP, Curcioli ACJV, et al. Serum cyclosporine levels:the influence of the time interval between interrupting the infusion and obtaining the samples:a randomized clinical trial[J]. Cancer Nurs, 2018, 41(4):E55-E61. |
[36] | 何燕芬, 郑建美, 项一清, 等. 严重烧伤后深静脉置管持续输液中采血对33项检验值的影响[J]. 护理与康复, 2012, 11(11):1052-1054. |
He YF, Zheng JM, Xiang YQ, et al. Influence of blood collection on 33 laboratory test values during continuous infusion of deep venous catheter after severe burn[J]. Nurs Rehabilitation J, 2012, 11(11):1052-1054. |
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