中国护理管理2024,Vol.24Issue(1) :84-89.DOI:10.3969/j.issn.1672-1756.2024.01.017

经皮内镜下胃造口术导管移位预防与管理的证据总结

Evidence summary for the prevention and management of catheter displacement of Percutaneous Endoscopic Gastrostomy

李嘉琪 左俊焘 徐瑶 姚红林 叶向红
中国护理管理2024,Vol.24Issue(1) :84-89.DOI:10.3969/j.issn.1672-1756.2024.01.017

经皮内镜下胃造口术导管移位预防与管理的证据总结

Evidence summary for the prevention and management of catheter displacement of Percutaneous Endoscopic Gastrostomy

李嘉琪 1左俊焘 1徐瑶 2姚红林 3叶向红3
扫码查看

作者信息

  • 1. 南京大学医学院,210093 南京市
  • 2. 蚌埠医学院研究生院
  • 3. 南京大学医学院附属金陵医院普通外科
  • 折叠

摘要

目的:总结关于预防和管理经皮内镜下胃造口术导管移位的证据,为临床医护人员管理经皮内镜下胃造口术导管提供参考.方法:计算机检索UpToDate、Embase、中国知网等国内外数据库中关于经皮内镜下胃造口术患者导管移位的文献,检索时限为建库至2023年4月1日,对纳入的文献进行质量评价,提取、整合形成证据.结果:共纳入10篇文献,其中指南7篇、专家共识1篇、最佳实践1篇、临床决策1篇,从建立多学科管理团队、围手术期导管移位预防措施、术后管路管理、导管位置确定、导管移位处理、健康教育及随访,共6个方面总结出26条证据.结论:所总结的关于预防和管理经皮内镜下胃造口术导管移位的证据可应用于临床实践,促进经皮内镜下胃造口术导管的规范化管理.

Abstract

Objective:To summarize the available evidence on the prevention and management of Percutaneous Endoscopic Gastrostomy(PEG)catheter displacement,and provide a reference to the management of PEG.Methods:Evidence of PEG catheter displacement was retrieved from UPToDate,Embase,CNKI and other databases from inception to April 1,2023.The quality of the included literature was evaluated,data were extracted and form evidence.Results:A total of 10 literature were included,including 7 guidelines,1 expert consensus,1 recommended practice,and 1 clinical decision.Totally 26 pieces of evidence were summarized from 6 aspects:establishment of multidisciplinary management team,prevention measures for perioperative catheter displacement,management of postoperative pipeline,determination of catheter location,management of catheter displacement,health education and follow-up.Conclusion:The summarized evidence on the prevention and management of PEG catheter displacement can be applied to clinical practice and promote the standardized management of PEG.

关键词

经皮内镜下胃造口术/导管移位/循证护理/证据总结

Key words

Percutaneous Endoscopic Gastrostomy/catheter displacement/evidence-based nursing/evidence summary

引用本文复制引用

基金项目

军事医学创新工程(18CXZ040)

出版年

2024
中国护理管理
卫生部医院管理研究所

中国护理管理

CSTPCD北大核心
影响因子:2.545
ISSN:1672-1756
参考文献量27
段落导航相关论文