急性呼吸道传染病患者经鼻高流量氧疗期间医院感染防控的最佳证据总结

doi:10.3761/j.issn.0254-1769.2023.05.005

摘要/Abstract

摘要：

目的总结急性呼吸道传染病患者经鼻高流量氧疗期间医院感染防控的最佳证据。方法制订文献检索策略，检索BMJ best practice、UpToDate、美国国立指南库、英国国家卫生与临床优化研究所网站、苏格兰院际指南网、世界卫生组织网、美国呼吸治疗协会网、欧洲呼吸学会网、医脉通数据库、Cochrane Library、PubMed、CINAHL、Web of Science、万方数据库、中国知网，检索时限为建库至2022年8月。根据筛选标准选取与本研究相关的文献，进行文献质量评价后提取证据。结果共纳入11篇文献，包括9篇专家共识、1篇系统评价和1篇原始研究，提取26条证据，包括人员管理、环境管理、医护人员防护、医疗护理操作、终末处理、急救管理6个类别。结论该研究总结的最佳证据对急性呼吸道传染病患者经鼻高流量氧疗期间的医院感染预防与控制具有指导意义，证据应用时需结合病原体特性、传播性等进行综合评判。

关键词: 急性呼吸道传染病, 经鼻高流量氧疗, 交叉感染, 感染控制, 循证护理学

Abstract:

Objective To summarize the best evidence for the prevention and control of nosocomial infection in patients with acute respiratory infectious diseases during high-flow nasal cannula oxygen therapy. Methods A literature retrieval strategy was formulated to search BMJ best practice，Up To Date，National Guideline Clearinghouse，National Institute for Health and Care Excellence，Scottish Intercollegiate Guidelines Network，World Health Organization website，American Association for Respiratory Care website，European Respiratory Society website，Yimaitong Database，Cochrane Library，PubMed，CINAHL，Web of Science，Wanfang database，CNKI. The search time limit is from the establishment of the database to August 2022. The literature related to this study were selected according to the inclusion criteria，and evidence was extracted after literature quality evaluation. Results A total of 11 pieces of the literature were included，including 9 expert consensuses，1 systematic review and 1 original study. A total of 26 pieces of evidence were extracted，including 6 categories as personnel management，environmental management，medical staff protection，medical care operation，terminal disinfection，and emergency management. Conclusion This study has guiding significance for the prevention and control of nosocomial infection in patients with acute respiratory infectious diseases during high-flow nasal cannula oxygen therapy. The application of evidence should be dialectically adopted and implemented in combination with the characteristics of pathogens and the strength of transmission.

Key words: Acute Respiratory Infectious Diseases, High-Flow Nasal Cannula Oxygen Therapy, Cross Infection, Infection Control, Evidence-Based Nursing

葛伟婷, 徐柳燕, 方思岚, 袁凤琴. 急性呼吸道传染病患者经鼻高流量氧疗期间医院感染防控的最佳证据总结[J]. 中华护理杂志, 2023, 58(5): 544-551.

GE Weiting, XU Liuyan, FANG Silan, YUAN Fengqin. Summary of best evidence for prevention and control of nosocomial infection in patients with acute respiratory infectious diseases during high-flow nasal cannula oxygen therapy[J]. Chinese Journal of Nursing, 2023, 58(5): 544-551.

图/表 5

图1 检索策略

Figure 1 Retrieval strategies

图2 文献筛选流程图

Figure 2 Flow chart of literature screening

表1 纳入文献的基本特征（n=11）

Table 1 Characteristics of included studies（n=11）

表2 专家共识质量评价结果（n=9）

Table 2 Quality evaluation of expert consensuses（n=9）

表3 急性呼吸道传染病患者经鼻高流量氧疗期间医院感染防控的最佳证据总结

Table 3 Summary of best evidence for prevention and control of nosocomial infection in patients with acute respiratory infectious diseases during high-flow nasal cannula oxygen therapy

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