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新生儿静脉输液外渗损伤护理的最佳证据总结

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目的 检索、评价和综合新生儿静脉输液外渗损伤护理的最佳证据。方法 基于循证证据金字塔6S模型,系统检索计算机/临床决策支持系统、相关指南与专业协会网站及数据库中关于新生儿静脉输液外渗护理的证据,检索时限为建库至2023年6月30日。由2~4名研究人员依据文献类型采用相应的文献评价工具对纳人文献进行质量评价。结果 共纳入9篇文献,包括指南2篇、专家共识1篇、临床决策2篇、最佳实践2篇和系统评价2篇。从伤口评估、紧急处理、药物干预、创面处理、敷料应用5个维度总结了 17条最佳证据。结论 该研究系统检索与总结了新生儿静脉输液外渗伤口护理的最佳证据,医护人员在临床应用时应充分考虑科室发展现状而选择性应用最佳证据,以促进新生儿静脉输液外渗伤口愈合。
Summary of best evidence for the care of extravasation injury in neonatal intravenous infusions
Objective To retrieve,evaluate,and synthesize the best evidence on the care of neonatal intravenous fluid extravasation injury.Methods Based on the 6S model of the evidence-based pyramid,evidence on neonatal intra-venous infusion extravasation care was systematically searched in computerized/clinical decision support systems,relevant guideline and professional association websites and databases,with a time limit of search from database cre-ation to June 30,2023.The quality of the included literature was evaluated by 2 researchers according to the type of literature using the appropriate literature evaluation tool.Results A total of 9 publications were included,including 2 guidelines,1 expert consensus,2 clinical decisions,2 best practices,and 2 systematic reviews.Seventeen best evi-dences were summarized in 5 dimensions:Wound assessment,emergency management,pharmacological treatment,wound management,and dressing application.Conclusion The best evidence of wound care for neonatal intravenous fluid extravasation in this study were systematically retrieved and summarized,and health care professionals should selectively apply the best evidence with full consideration of the current status of departmental development in clinical application to promote wound healing of neonatal intravenous fluid extravasation.

neonateintravenous infusion extravasationsummary of evidencenursing

石秦川、朱珠、陶伏莹、田莹莹、刘蓓蓓

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南京市妇幼保健院,江苏南京 210004

新生儿 静脉输液外渗 证据总结 护理

南京市卫生科技发展专项南京医科大学科技发展基金

YKK21168NMUB20210126

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(10)
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