摘要
目的 系统检索、评价并汇总预防老年卧床患者压力性损伤(PI)的体位改变相关证据.方法 根据"6S"模型进行计算机检索,检索数据库包括BMJ最佳临床实践、UpToDate临床顾问、全球协作指南网、英国国家卫生与临床优化研究所、苏格兰校际指南网、JBI EBP、Cochrane图书馆等网站中,所有关于预防老年卧床患者PI的临床实践指南、临床决策、推荐实践、证据总结、系统评价、meta分析、专家共识,检索时限为建库至2023年5月31日,进行方法学质量评价后,对证据进行提取、分类和汇总.结果 共纳入12篇证据,包括2篇指南、7篇系统评价、3篇证据总结.从风险评估、间隔时间、角度和姿势、辅助和指导4个方面汇总了 12个证据主题,40条最佳证据.结论 护理人员应遵循最佳证据,规范老年卧床患者的体位改变管理,预防PI的发生.
Abstract
Objective To systematically retrieve,evaluate,and summarize the relevant evidence of postural change for the prevention of pressure injury(PI)in elderly bedridden patients.Methods According to the"6S"model,the database including BMJ best clinical practice,UpToDate clinical consultants,global collaborative guidelines net-work,National Institute for Health and Care Excellence(NICE),Scottish website,JBI EBP,and Cochrane library were searched in a computer.All clinical practice guidelines,clinical decisions,recommended practice,evidence sum-mary,systematic evaluation,meta analysis,expert consensus on the prevention of PI in bedridden elderly patients were extracted,classified,and summarized after methodological quality assessment.The search period was from the establishment of the database to May 31,2023.Results A total of 12 evidence articles were included,including 2 guidelines,7 systematic reviews,and 3 evidence summaries.There was summarized 12 evidence themes and 40 best evidence from 4 aspects:Risk assessment,interval time,angle and posture,assistance and guidance.Conclusion Nurses should follow the best evidence to regulate the management of posture changes of elderly bedridden patients so as to prevent the occurrence of PI.
基金项目
内蒙古自治区自然科学基金(2023QN08045)
复旦大学循证护理中心证据转化与临床应用项目(Fudanebn202311)
维普
万方数据