Abstract:

Objective To develop “a guideline for pressure injury risk assessment and prevention of neonates in NICU”，and to provide guidance and references for clinical staff in the implementation of pressure injury assessment and prevention for neonates in NICU. Methods Based on the World Health Organization Guideline Development Manual and the results of systematic search for identified clinical problems，the GRADE method was used to evaluate the evidence and grade the recommendations，and the RIGHT report specifications were referred to for writing，and the guideline was developed and revised according to the results and recommendations of the expert review，so as to form the official guideline. Results The guideline included 2 aspects of pressure injury risk assessment and prevention，resulting in 12 clinical questions and 19 recommendations. Conclusion The guideline for risk assessment and prevention of pressure injury of neonates in NICU is an evidence-based guideline based on the best available evidence，clinical practice，and professional judgment，and it can provide a practical basis for scientific decision-making by clinical staff and managers.

Key words: Intensive Care Units，Neonatal, Pressure Injury, Risk Assessment, Prevention, Guideline, Nursing Care

摘要：

目的 制订“NICU患儿压力性损伤风险评估与预防指南”，为临床医护人员实施NICU患儿压力性损伤风险评估与预防提供指导和参考。 方法 参考“世界卫生组织指南制订手册”，根据系统的文献检索结果，针对确定的临床问题，采用“推荐等级的评估、制订与评价系统”评价相关证据和推荐意见，并参照“卫生保健实践指南的报告条目”撰写指南，根据专家评审结果和建议进行修改，形成正式指南。 结果 构建的指南涵盖压力性损伤风险评估和预防2个方面，涉及12个临床问题，共19条推荐意见。 结论 “NICU患儿压力性损伤风险评估与预防指南”是根据最佳证据、临床实际情况以及专业人员判断形成的循证指南，可为临床医护人员和管理者进行科学决策提供依据。

关键词: 新生儿重症监护病房, 压力性损伤, 风险评估, 预防, 指南, 护理