脑出血患者静脉血栓栓塞机械预防的证据总结

doi:10.3761/j.issn.0254-1769.2019.06.027

摘要/Abstract

摘要：

目的检索、评价和整合脑出血患者静脉血栓栓塞机械预防的相关证据,为降低脑出血患者静脉血栓栓塞的发生率提供参考。方法应用循证护理的方法,针对脑出血患者静脉血栓栓塞的机械预防提出问题、检索相关文献、采用澳大利亚Joanna Briggs Institute循证卫生保健中心的文献评价标准和证据分级系统,对各类研究进行文献质量评价及证据级别评定。结果从机械装置选择、机械预防方法、机械预防时间、机械预防禁忌证和病情观察要点等方面共总结出16条最佳证据。结论脑出血患者静脉血栓栓塞机械预防的证据总结过程科学,总结的证据实用性强,临床护士可以通过应用最佳证据预防静脉血栓栓塞,提升护理质量。

关键词: 脑出血, 静脉血栓栓塞, 机械预防, 循证护理

Abstract:

Objective To retrieve,appraise and integrate the available evidence on mechanical prophylaxis of venous thromboembolism（VTE） in patients with intracerebral hemorrhage so as to provide reference for clinical practice to decrease the rate of VTE.Methods Using the method of evidence-based nursing,clinical question regarding mechanical prophylaxis for venous thrombosis with cerebral hemorrhage was raised. Relevant studies were retrieved by computer search. JBI evidence appraisal and recommendation system were used to evaluate quality of studies and level of evidence.Results A total of 16 items of best evidence were summarized,including mechanical device selection,application methods,time arrangement,contraindication of mechanical prevention and disease observation.Conclusion It is safe and effective for patients with cerebral hemorrhage to adopt mechanical measures to prevent venous thromboembolism. Clinical nurses can apply the best evidence to guide practice and improve nursing quality.

Key words: Intracerebral Hemorrhage, Venous Thromboembolism, Mechanical Prophylaxis, Evidence-Based Nursing

刘婷, 赵顺莹, 王灵聪, 徐敏. 脑出血患者静脉血栓栓塞机械预防的证据总结[J]. 中华护理杂志, 2019, 54(6): 935-939.

LIU Ting, ZHAO Shunying, WANG Lingcong, XU Min. Evidence summary for mechanical prophylaxis of venous thromboembolism in patients with intracerebral hemorrhage[J]. Chinese Journal of Nursing, 2019, 54(6): 935-939.

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