维持性血液透析患者带隧道带涤纶套导管护理的最佳证据总结
Tunnel-cuffed Catheter Care in Maintenance Hemodialysis Patients:Best Evidence Summary
祁滢滢 1梁新蕊 1李晶晶 1周晓冬 1赵琦琦 1谢妍1
作者信息
- 1. 海军军医大学第一附属医院血液净化中心,上海 200433
- 折叠
摘要
目的 系统检索、评价并提炼出维持性血液透析(maintenance hemodialysis,MHD)患者带隧道带涤纶套导管(tunnel-cuffed catheter,TCC)护理的最佳证据,为构建科学的血液透析导管护理管理规范提供循证依据.方法 采用循证研究方法,系统检索国内外数据库资料,由2名循证研究人员独立进行文献质量评价,纳入文献通过专家会议法进行证据提取、分类和整合最终形成最佳证据.结果 共纳入文献15篇,包括系统评价1篇、指南7篇、专家共识6篇、证据总结1篇.总结出评估与监测、冲管与封管、消毒与换药、并发症管理及质量改进5个主题,共提炼出31条最佳证据.结论 本研究提炼分析了 MHD患者TCC护理相关的最佳证据,为有效预防TCC相关并发症的发生、延长血管通路使用寿命、进一步提高血液透析护理管理质量提供了科学循证依据.
Abstract
Objective To systematically retrieve,evaluate and extract the best evidence of maintenance hemodialysis(MHD)patients with tunnel-cuffed catheter(TCC)and provide best evidence for the con-struction of a scientific nursing management standard of hemodialysis catheter.Methods Evidence-based research techniques were used to systematically search data from domestic and foreign databases,and 2 evi-dence-based researchers independently evaluated the literature.The best evidence was finally obtained from the papers with the expert discussion method.Results A total of 15 papers were included:1 systematic re-view,7 guidelines,6 expert consensus and 1 evidence summary.5 themes(evaluation and monitoring,flushing and sealing,disinfection and dressing change,complication management,and quality improve-ment)were summarized,while 31 pieces of best evidence were extracted.Conclusions This study not only extracts and analyzes the best evidence related to TCC nursing in MHD patients,provides scientific and evidence-based basis for effectively prevention of the occurrence of TCC-related complications,but also prolongs the service life of vascular access,and further improves the quality of hemodialysis nursing management.
关键词
维持性血液透析/带隧道带涤纶套导管Key words
maintenance hemodialysis/tunnel-cuffed catheter引用本文复制引用
基金项目
海军军医大学深蓝护理科研项目(2022KYG14)
复旦大学循证护理中心证据转化与临床应用项目(Fudanebn 202334)
出版年
2024
NETL
NSTL
维普
万方数据