目的 检索、评价并总结体外心肺复苏院内启动准备流程的相关证据，以期为临床开展体外心肺复苏提供循证依据。 方法 采用循证护理研究方法，根据"6S"证据模型，自上而下检索美国指南网、苏格兰院际间指南网、英国国家临床医学研究所指南网等网站及UpToDate、The Cochrane Library、PubMed、Embase、中国知网、万方等数据库中与体外心肺复苏院内启动准备相关的指南、临床决策、专家共识、系统评价等文献，检索日期为建库至2023年5月20日。研究者对检索文献进行筛选、质量评价、证据提取并整合。 结果 最终纳入11篇文献，包括2篇指南，6篇专家共识，1篇系统评价，2篇类实验研究，从医疗条件、团队组建、物品管理、运行机制、启动前救治及启动判断6个方面总结出18条最佳证据。 结论 本研究总结了体外心肺复苏院内启动准备流程的相关证据，可为促进体外心肺复苏推广及实施提供参考。后续研究中仍需要着重关注体外心肺复苏的团队建设、人员培训考核以及管理制度优化，以提高体外心肺复苏的救治效率及准备度。 Objective To retrieve, evaluate and integrate the evidence related to the preparation process for initiating extracorporeal cardiopulmonary resuscitation in hospital, so as to provide reference for clinical implementation of extracorporeal cardiopulmonary resuscitation. Methods According to the evidence-based nursing method and the 6S evidence model, guidelines, clinical decisions, expert consensus, systematic review and other literatures related to the preparation process for initiating extracorporeal cardiopulmonary resuscitation in hospital were searched from National Guideline Clearinghouse, Scottish Intercollegiate Guidelines Network, National Institute for Health and Care Excellence, and other websites, UpToDate, The Cochrane Library, PubMed, Embase, CNKI, Wanfang and other databases. The retrieval date limit was from the establishment of the database to May 20, 2023. Researchers assessed the quality of the included articles, and extracted and summarized the evidence that met the quality standards. Results A total of 11 articles were included, including 2 guidelines, 6 expert consensuses, 1 systematic review and 2 quasi-experimental studies. A total of 18 pieces of evidences were summarized from 6 aspects, including medical conditions, team building, materials management, operation mechanism, pre-initiating treatment and initiating judgment. Conclusions This study summarizes the evidence of preparation process for initiating extracorporeal cardiopulmonary resuscitation in hospital, which can provide reference for promoting the implementation of extracorporeal cardiopulmonary resuscitation. Future studies still need to focus on team building, personnel training and assessment, and optimisation of the management system, so as to improve the efficiency and readiness of treatment.
Preparation process for initiating extracorporeal cardiopulmonary resuscitation in hospital: best evidence summary
Objective To retrieve, evaluate and integrate the evidence related to the preparation process for initiating extracorporeal cardiopulmonary resuscitation in hospital, so as to provide reference for clinical implementation of extracorporeal cardiopulmonary resuscitation. Methods According to the evidence-based nursing method and the 6S evidence model, guidelines, clinical decisions, expert consensus, systematic review and other literatures related to the preparation process for initiating extracorporeal cardiopulmonary resuscitation in hospital were searched from National Guideline Clearinghouse, Scottish Intercollegiate Guidelines Network, National Institute for Health and Care Excellence, and other websites, UpToDate, The Cochrane Library, PubMed, Embase, CNKI, Wanfang and other databases. The retrieval date limit was from the establishment of the database to May 20, 2023. Researchers assessed the quality of the included articles, and extracted and summarized the evidence that met the quality standards. Results A total of 11 articles were included, including 2 guidelines, 6 expert consensuses, 1 systematic review and 2 quasi-experimental studies. A total of 18 pieces of evidences were summarized from 6 aspects, including medical conditions, team building, materials management, operation mechanism, pre-initiating treatment and initiating judgment. Conclusions This study summarizes the evidence of preparation process for initiating extracorporeal cardiopulmonary resuscitation in hospital, which can provide reference for promoting the implementation of extracorporeal cardiopulmonary resuscitation. Future studies still need to focus on team building, personnel training and assessment, and optimisation of the management system, so as to improve the efficiency and readiness of treatment.
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