目的 对危重症患儿早期活动的最佳证据进行整理总结,为临床制定相关干预策略提供参考.方法 通过检索加拿大安大略省注册护士协会网(RNAO)、英国国家卫生与临床优化研究所(NICE)、苏格兰学院间指南网络(SIGN)、Web of Science、Cochrane Library、PubMed、Best Practice(BMJ)、UpToDate、中国生物医学文献服务系统、万方数据知识服务平台、中国知网等数据库中危重症患儿早期活动的相关文献,检索时限为建库至2023年8月14日,按照JBI循证卫生保健中心的相应评价标准进行质量评价,对纳入的文献进行证据提取.结果 最终纳入文献10篇,提取内容包括团队、评估、绝对禁忌、相对禁忌、运动状况监测和活动内容6个维度共20条最佳证据.结论 提取的危重症患儿早期活动的最佳证据可作为重症患儿早期活动的循证依据.
Summary of the best evidence for early mobilization of critically ill children
Objective To summarize the best evidence of early mobilization of critically ill children,and to provide references for clini-cal staff to formulate related intervention strategies.Methods Relevant literature on early activity in critically ill children was re-trieved from databases such as the Registered Nurses'Association of Ontario(RNAO),the National Institute for Health and Care Excellence(NICE),the Scottish Intercollegiate Guidelines Network(SIGN),Web of Science,Cochrane Library,PubMed,Best Practice(BMJ),UpToDate,SinoMed,Wanfang Data,and China National Knowledge Infrastructure(CNKI),up until August 14,2023.Quality assessment was conducted according to JBI criteria,with evidence extraction being performed on the included publications.Results A total of 10 publications were eligible,and 20 pieces of best evidence were extracted and factored into 6 di-mensions:team,assessment,absolute contraindications,relative contrain dications,exercise monitoring and activity contents.Conclusion The best evidence on early mobilization of critically ill children serves as an evidence-based basis for clinical staff to im-plement early mobilization and rehabilitation for critically ill children.
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