目的 检索、评价和总结国内外肌萎缩侧索硬化患者呼吸道管理的相关证据，为临床护理提供参考。 方法 系统检索国内外相关指南网、专业学会及数据库中关于肌萎缩侧索硬化患者呼吸道管理的最佳实践、指南、专家共识等证据。检索时限为2016年1月1日至2023年4月15日。经过文献质量评价后，对符合质量标准的文献进行证据提取。 结果 最终纳入12篇文献，包括3篇指南、1篇专家共识、1篇证据总结、4篇系统评价和3篇随机对照试验。从肌萎缩侧索硬化患者的呼吸评估、机械通气、呼吸道分泌物管理和呼吸康复4个方面总结出25条证据。 结论 该研究总结了肌萎缩侧索硬化患者呼吸道管理的最佳证据，便于临床医护人员对肌萎缩侧索硬化患者进行更有针对性、科学性的呼吸评估、干预及指导。 Objective To retrieve, evaluate and summarize the relevant evidence for respiratory management in patients with amyotrophic lateral sclerosis (ALS), and provide reference for clinical nursing. Methods The best practices, guidelines, expert consensus and other evidence on respiratory management in ALS patients were systematically retrieved from dometic and foreign relevant guide websites, professional associations and databases. The retrieve period was from January 1, 2016 to April 15, 2023. After the literature quality evaluation, the evidence was extracted from the literature that meets the quality standards. Results A total of 12 references were included, including 3 guidelines, 1 expert consensus, 1 evidence summary, 4 systematic reviews, and 3 randomized controlled trails. The 25 pieces of evidence were summarized from the patients with ALS, including respiratory assessment, mechanical ventilation, secreta management, and respiratory rehabilitation. Conclusions This study summarizes the best evidence on respiratory tract management in patients with ALS, which is convenient for clinical medical personnel to carry out more targeted and scientific respiratory assessment, intervention and guidance for patients with ALS.
Summary of the best evidence for respiratory management in patients with amyotrophic lateral sclerosis
Objective To retrieve, evaluate and summarize the relevant evidence for respiratory management in patients with amyotrophic lateral sclerosis (ALS), and provide reference for clinical nursing. Methods The best practices, guidelines, expert consensus and other evidence on respiratory management in ALS patients were systematically retrieved from dometic and foreign relevant guide websites, professional associations and databases. The retrieve period was from January 1, 2016 to April 15, 2023. After the literature quality evaluation, the evidence was extracted from the literature that meets the quality standards. Results A total of 12 references were included, including 3 guidelines, 1 expert consensus, 1 evidence summary, 4 systematic reviews, and 3 randomized controlled trails. The 25 pieces of evidence were summarized from the patients with ALS, including respiratory assessment, mechanical ventilation, secreta management, and respiratory rehabilitation. Conclusions This study summarizes the best evidence on respiratory tract management in patients with ALS, which is convenient for clinical medical personnel to carry out more targeted and scientific respiratory assessment, intervention and guidance for patients with ALS.
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