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支气管扩张症患者气道廓清技术的最佳证据总结

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目的 检索、评价并整合支气管扩张症患者气道廓清技术(ACT)的最佳证据.方法 采用PIPOST模式构建循证问题,按照"6S"金字塔证据模型,系统检索国内外数据库及专业协会网站中关于支气管扩张症患者ACT的指南、临床实践、专家共识、证据总结和系统评价,检索时限为建库至2023年5月1日.结果 共纳入14篇文献,包括指南5篇、临床实践2篇、专家共识2篇和系统评价5篇.从评估、干预措施、时间和频率、注意事项、自我管理5个方面,共总结出21条最佳证据.结论 医护人员可基于我国国情,考虑患者现状、结合实际临床情境及支气管扩张症患者ACT的最佳证据,制定支气管扩张症患者ACT方案,改善其临床结局,提高生活质量.
Summary of the best evidence for airway clearance techniques in patients with bronchiectasis
Objective To retrieve,evaluate and integrate the best evidence of airway clearance techniques(ACT)in patients with bronchiectasis.Methods Using PIPOST mode to construct evidence-based questions,according to the"6S"pyramid evidence model,guidelines,clinical practice,expert consensus,evidence summary,and systematic review on ACT in patients with bronchiectasis were systematically searched in relevant domestic and foreign databas-es and professional association websites.The search time was from the establishment of the database to May 1,2023.Results A total of 14 articles were included,including 5 guidelines,2 clinical practice,2 expert consensus,and 5 systematic reviews.A total of 21 pieces of the best evidence was formed from 5 aspects,including assessment,in-tervention measures,frequency and duration,precautions,and self-management.Conclusion Based on China's na-tional conditions,medical and nursing staff can consider the current situation of patients,and combine with the actu-al clinical situation and the best evidence of ACT in patients with bronchiectasis,and formulate ACT programs for patients with bronchiectasis to improve their clinical outcomes and quality of life.

bronchiectasisairway clearanceevidence summaryevidence-based nursing

魏红雨、刘玉琳、杨姝晖、王紫娟、刘曦璇

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重庆医科大学附属儿童医院呼吸科儿童发育疾病研究教育部重点实验室国家儿童健康与疾病临床医学研究中心儿童发育重大疾病国家国际科技合作基地儿童感染与免疫罕见病重庆市重点实验室,重庆 401120

四川大学华西医院神经外科,四川成都 610041

支气管扩张症 气道廓清技术 证据总结 循证护理

2024

护士进修杂志
贵州省医药卫生学会办公室

护士进修杂志

CSTPCD
影响因子:2.59
ISSN:1002-6975
年,卷(期):2024.39(8)
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