目的 总结机械通气患者雾化吸入的最佳证据,为临床护理提供指引.方法 计算机检索UpToDate、国际指南协作网、JBI证据总结数据库、PubMed、Web of Science、中国知网、万方数据、医脉通指南网等数据库.检索时限为2013年1月至2023年11月.结果 共纳入文献16篇;从雾化吸入准备、治疗工具选择、雾化器放置位置、设备参数设置与用法选择、院感预防与职业防护、设备维护与管理、药物使用管理、不良事件8个方面汇总30条最佳证据.结论 总结的机械通气患者雾化吸入管理最佳证据,可作为指引用于临床护理.
Summary of best evidence for aerosol delivery in mechanically ventilated adult pa-tients
Objective To summarize the best evidence for aerosol delivery in mechanically ventilated adult patients and provide gui-dance for nursing practice.Methods A literature search of UpToDate,Guidelines International Network,Joanna Briggs Institute Evidence Synthesis,PubMed,Web of Science,China National Knowledge Infrastructure(CNKI),Wanfang Data,and MedGuides Network was conducted through January 2013 to November 2023.Results A total of 16 articles were included.Thirty pieces of evi-dence were summarized and categorized into eight aspects:preparation,tool selection,nebulizer placement,parameter setting and mode selection,nosocomial infection prevention and occupational protection,equipment maintenance and management,drug use management,and adverse events.Conclusion The summarized best evidence for aerosol delivery in mechanically ventilated patients can be used as a reference guide for clinical nursing.
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