Abstract:

Objective To search,evaluate and summarize the best evidence of tracheotomy management in burn patients with inhalation injury,so as to provide references for clinical practice and establishment of the standard. Methods We searched Wanfang database,CNKI,PubMed,Medline,and American Burn Association（ABA）. The retrieved evidence included clinical decisions,guidelines,evidence summaries,systematic reviews,and expert consensuses. The studies from the establishment of the database to April 30,2019 were incorporated. Research quality evaluation and evidence extraction were conducted independently by 2 researchers. Results This study incorporated 22 pieces of literature,74 pieces of best evidence were summarized. Conclusion In the application of clinical evidence,it is necessary to fully consider the specific clinical situation,and the evidence should be selected based on professional judgment and patient’s willingness and preference,so as to improve the quality of nursing care,reduce the incidence of complications and improve the recovery of patients.

Key words: Burns, Inhalation, Tracheotomy, Evidence-Based Nursing, Nursing Administration Research

摘要：

目的 检索、评价、总结国内外关于烧伤合并吸入性损伤患者气管切开管理的最佳证据,为临床实践与标准制订提供参考。 方法 系统检索万方、知网、PubMed、中国医脉通指南网和美国烧伤协会等数据库、指南网站以及专业协会的所有证据,包括临床决策、指南、证据总结、系统评价及专家共识。检索时限为建库至2019年4月30日。由2名经过循证培训的研究人员独立进行文献质量评价与证据提取。 结果 本研究共纳入22篇文献,总结出74条最佳证据。 结论 临床上应用证据时,需充分考虑具体的临床情景,结合专业判断与患者意愿,针对性地选用证据,从而提升护理质量,降低烧伤合并性损伤气管切开患者并发症的发生率,改善其预后。

关键词: 烧伤, 吸入性, 气管切开术, 循证护理, 护理管理研究