慢性阻塞性肺疾病患者家庭氧疗管理的最佳证据总结

doi:10.3761/j.issn.0254-1769.2021.07.004

摘要/Abstract

摘要：

目的检索、评价COPD患者家庭氧疗管理相关文献,汇总最佳证据,为临床护理提供参考。方法检索计算机决策系统、指南网站、数据库、专业协会网站中与COPD患者家庭氧疗管理有关的文献,包括指南、专家共识、证据总结、系统评价、原始研究。检索时限为建库至2020年7月31日。由2名研究者独立对相关文献进行质量评价,并结合专业判断进行证据的提取和汇总。结果共纳入13篇文献,包括指南8篇、专家共识1篇、系统评价2篇、随机对照试验2篇,从长期氧疗、夜间氧疗、动态氧疗、短脉冲氧疗、姑息氧疗、氧疗随访、家庭氧疗安全7个方面形成42条最佳证据。结论该研究总结了COPD患者家庭氧疗的最佳证据,为医护人员制订合理的随访方案、规范家庭氧疗实践、保障家庭氧疗安全提供循证依据。

关键词: 慢性阻塞性肺疾病, 家庭护理, 氧气治疗, 循证护理学

Abstract:

Objective To search,evaluate and summarize the best evidence of home oxygen therapy for patients with chronic obstructive pulmonary disease（COPD） and to provide references for clinical nursing work. Methods We searched the computer decision support systems,guideline websites,databases and association official websites to collect the literature including clinical practice guidelines,expert consensuses,evidence summaries,systematic reviews,meta-analysis,and original studies. The retrieval time is from the establishment of databases to July 31,2020. 3 researchers independently evaluated the quality of the relevant literature,and combined with professional judgment,extracted and summarized the quality of the literature that met the standards. Results A total of 13 articles were included,including 8 clinical practice guidelines,1 expert consensus,2 systematic reviews and 2 randomized controlled trials. Finally,42 pieces of best evidence were formed from 7 aspects,namely long-term oxygen therapy,nocturnal oxygen therapy,ambulatory oxygen therapy,short burst oxygen therapy,palliative oxygen therapy,safety of oxygen therapy and follow-up of oxygen therapy. Conclusion This study summarized the best evidence of home oxygen therapy for COPD patients,and provided evidence-based bases for medical staff to formulate reasonable follow-up plans,standardize home oxygen therapy practice,and ensure the safety of home oxygen therapy.

Key words: Chronic Obstructive Pulmonary Disease, Home Care, Oxygen Therapy, Evidence-Based Nursing

陶国芳,鲍杨娟,杨苏,邢美园,宋运莲,黄丽华. 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 Guofang,BAO Yangjuan,YANG Su,XING Meiyuan,SONG Yunlian,HUANG Lihua. Evidence summary for the management of home oxygen therapy in patients with chronic obstructive pulmonary disease[J]. Chinese Journal of Nursing, 2021, 56(7): 983-990.

图/表 3

表1 纳入文献的一般特征

Table 1 General characteristics included in the literature

表2 纳入指南的方法学质量评价结果

Table 2 Results of quality evaluation of the guidelines

表3 慢性阻塞性肺疾病患者家庭氧疗管理的最佳证据

Table 3 Best evidence for the management of home oxygen therapy in patients with chronic obstructive pulmonary disease

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