ICU患者呼吸机警报管理的最佳证据总结

doi:10.3761/j.issn.0254-1769.2023.23.007

摘要/Abstract

摘要：

目的检索ICU患者呼吸机警报管理的相关证据，并进行最佳证据汇总，以期为ICU患者呼吸机警报管理决策提供参考。方法系统检索国内外相关指南网站、专业协会网站以及PubMed、CINAHL、Embase、Web of Science、维普数据库、中国知网、万方数据库等与ICU患者呼吸机警报管理相关的临床决策、指南、系统评价、专家共识以及随机对照试验，检索时限为建库至2023年4月22日。由2名研究者独立对文献进行质量评价与结果提取。结果最终纳入14篇文献，其中指南4篇、国际标准2篇、国家标准2篇、专家共识2篇、系统评价3篇、随机对照试验1篇；结合专业人员判断，汇总了27条证据，包括多学科团队合作、警报设置、警报监测与处理、警报管理要求、警报教育培训和呼吸机维护6个方面。结论该研究总结了ICU患者呼吸机警报管理的最佳证据，可为护理人员的临床决策提供循证依据，以科学的管理方式解决临床呼吸机警报问题，提升管理质量和管理效率。

关键词: 呼吸机, 警报, 护士, 循证护理学

Abstract:

Objective To retrieve the relevant evidence of ICU nurse ventilator alarm management and summarize the best evidence to provide a reference for ICU nurse ventilator alarm management decision. Methods The clinical decision，guideline，systematic evaluation，expert consensus and all kinds of original studies related to the alarm management of ICU nurses in PubMed，CINAHL，Embase，Web of Science，VIP，CNKI and Wanfang were searched from database construction until April 22，2023. The literature quality evaluation and result extraction were performed independently by 2 investigators. Results 14 articles were finally involved，including 4 guidelines，2 international standards，2 national standards，2 expert consensuses，3 systematic evaluations and 1 randomized controlled trial；combined with professional judgment，27 pieces of the evidence were summarized，including multidisciplinary teamwork，alarm monitoring and processing，alarm setting，alarm management requirements，alarm education and training and ventilator maintenance. Conclusion This study summarizes the best evidence of ventilator alarm management for ICU nurses，which can provide evidence-based bases for clinical decisions，solve clinical ventilator alarm problems in a scientific management way，and improve the quality of management.

Key words: Ventilator, Alarm, Nurse, Evidence-Based Nursing

仇露露, 张洪涛, 万薇薇, 林华权, 冉鱼华, 许小明. ICU患者呼吸机警报管理的最佳证据总结[J]. 中华护理杂志, 2023, 58(23): 2864-2872.

QIU Lulu, ZHANG Hongtao, WAN Weiwei, LIN Huaquan, RAN Yuhua, XU Xiaoming. Summary of best evidence for ventilator alarm management for ICU patients[J]. Chinese Journal of Nursing, 2023, 58(23): 2864-2872.

图/表 4

图1 文献检索流程图

Figure 1 Flow chart of the literature search

表1 纳入文献的基本情况（n=14）

Table 1 Basic information of the included literature（n=14）

表2 纳入指南质量评价结果（n=4）

Table 2 Quality evaluation results of the included guidelines（n=4）

表3 ICU患者呼吸机警报管理的最佳证据总结

Table 3 Summary of the best evidence for ventilator alarm management for ICU patients

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