中国护理管理2024,Vol.24Issue(7) :1076-1081.DOI:10.3969/j.issn.1672-1756.2024.07.022

儿童家庭机械通气管理的证据总结

Evidence summary for the management of pediatric Home Mechanical Ventilation

李墨 范玲 贺琳晰 王思琦
中国护理管理2024,Vol.24Issue(7) :1076-1081.DOI:10.3969/j.issn.1672-1756.2024.07.022

儿童家庭机械通气管理的证据总结

Evidence summary for the management of pediatric Home Mechanical Ventilation

李墨 1范玲 1贺琳晰 2王思琦1
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作者信息

  • 1. 中国医科大学附属盛京医院护理部,110022 沈阳市
  • 2. 中国医科大学附属盛京医院儿科重症监护室,110022 沈阳市
  • 折叠

摘要

目的:检索、评价并总结儿童家庭机械通气管理的证据,对需要家庭机械通气的儿童提供标准化的评估和管理证据.方法:基于PIPOST模式确定循证问题,按照"6S"模型对国内外相关学会、指南、数据库网站进行文献检索,检索时限为建库至 2023 年 8月.对文献质量进行评价,并提取相关证据.结果:共纳入11篇文献,其中指南4 篇、专家共识 2 篇、系统评价1篇、队列研究 2 篇以及类实验性研究 2 篇.从儿童家庭机械通气管理的前期准备、照顾者培训、设备与安全、家庭护理技术、随访监测以及长期发展 6 个方面共形成 28 条证据.结论:儿童由医院过渡到家庭是一个烦琐、复杂的过程,临床应该制定个体化的出院计划以及后续随访计划,以提高儿童及其家庭的生活质量,尽可能地延长儿童生命.

Abstract

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.

关键词

儿童/家庭机械通气/长期机械通气/家庭/循证护理学

Key words

children/Home Mechanical Ventilation/long-term mechanical ventilation/family/evidence-based nursing

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基金项目

2022年度辽宁省普通高等教育本科教学改革研究项目(2022485)

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

CSTPCDCSCD北大核心
影响因子:2.545
ISSN:1672-1756
参考文献量34
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