Tunnel-cuffed Catheter Care in Maintenance Hemodialysis Patients:Best Evidence Summary
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.
NETL
NSTL
万方数据
维普
