Evidence summary for the management of pediatric Home Mechanical Ventilation
Objective:To retrieve,evaluate and summarize the evidence on Home Mechanical Ventilation(HMV)for children,and to provide standardized assessment and management evidence for children in need of HMV.Methods:The evidence-based questions were identified based on the PIPOST model,and the literature was retrieved according to the"6S"model from inception to August 2023.Professional evidence-based nurses evaluated the quality of the literature and extracted relevant evidence.Results:A total of 11 articles were included,including 4 guidelines,2 expert consensuses,1 systematic review,2 cohort studies and 2 quasi-experimental studies.A total of 28 pieces of evidence were formed from six aspects:preliminary preparation for discharge,caregiver training,equipment and safety,home care technology,follow-up monitoring,and long-term development.Conclusion:The transition of children in need of mechanical ventilation from hospital to home is a cumbersome and complex process,and individualized discharge plans and follow-up plans should be formulated to improve the quality of life of children and their families,and prolong children's life as much as possible.