首页|新生儿PICC相关性血栓预防与管理的证据总结

新生儿PICC相关性血栓预防与管理的证据总结

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目的:总结新生儿经外周静脉置入中心静脉导管(PICC)相关性血栓预防与管理的证据,为临床医护人员提供循证依据.方法:系统检索国内外临床决策网站、指南网站、专业协会网站、循证文献资源库及原始文献数据库,检索时限为建库至2023年2月.对纳入的文献进行方法学质量评价,结合专业判断、临床情境提取证据并进行汇总.结果:共纳入14篇文献,其中临床决策2篇,指南6篇,系统评价4篇,队列研究2篇.从风险评估、导管置入、导管维护、血栓诊断、血栓治疗、拔管等6个方面共汇总了 31条证据.结论:本研究总结了新生儿PICC相关性血栓预防及管理的证据.医护人员可结合文化背景、临床情境选择证据,制定科学的血栓预防及管理方案,提升护理质量.
Evidence summary for the prevention and management of neonatal PICC related thrombosis
Objective:To integrate the evidence for the prevention and management of neonatal PICC related thrombosis,so as to provide evidence-based evidence for clinical staff.Methods:The clinical decision-making website,guideline website,professional association website,evidence-based literature resource database,and original literature databases on the prevention and management of neonatal PICC related thrombosis were systematically searched from the establishment of the database to February 2023.The methodological quality of the literature that met the inclusion criteria was evaluated,and the evidence was extracted and summarized based on professional judgment and clinical context.Results:A total of 14 literature were included,including 2 clinical decisions,6 guidelines,4 systematic reviews,and 2 cohort studies.Totally of 31 pieces of evidence were summarized from 6 aspects:risk assessment,catheter placement,catheter maintenance,thrombosis diagnosis,thrombosis treatment,and extubation.Conclusion:The evidence summarizes the evidence for the prevention and management of neonatal PICC related thrombosis.Clinical staff can incorporate cultural backgrounds and clinical situations to select evidence,develop scientific thrombosis prevention and management plans,so as to enhance the quality of nursing care.

catheter-related thrombosisPICCneonatesummary of evidence

方运霞、刘佳惠、林琴、彭思意、魏涛、袁忠、王童语、李旭英

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湖南中医药大学护理学院,410208 长沙市

湖南省肿瘤医院乳腺内科

湖南省肿瘤医院血管通道中心

湖南省肿瘤医院早期临床中心

湖南省肿瘤医院麻醉科

湖南省肿瘤医院护理部

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导管相关性血栓 经外周静脉置入中心静脉导管 新生儿 证据总结

湖南省卫生健康委卫生科研课题(2023)湖南省研究生培养创新实践基地项目(2019)湖南省研究生联合培养基地项目(2021)

B202314057777湘教通[2019]248号-47湘教通[2021]346号-78

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
年,卷(期):2024.24(3)
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