摘要
目的:检索、评价及总结新生儿外周静脉输液渗漏性损伤预防及管理的相关证据,为临床实践提供依据.方法:系统检索UpToDate、BMJ Best Practice、中国知网、万方数据库等中英文数据库或网站中关于新生儿外周静脉输液渗漏性损伤预防及管理的证据,包括指南、临床决策、证据总结、系统评价、专家共识等.检索时限为 2013 年1月1日至 2024 年3月31日.由4 名接受过循证护理培训的研究人员对文献质量进行独立评价并提取证据.结果:共纳入10 篇文献,其中指南4 篇、专家共识 3篇、系统评价3篇.最终从穿刺前评估、导管留置期间评估、静脉输液渗漏性损伤的分级与处理、质量改进 4 个方面总结了24 条证据.结论:该研究总结的新生儿外周静脉输液渗漏性损伤预防及管理的证据,可为临床静脉输液渗漏预防提供依据,建议临床基于证据结合科室和新生儿的实际情况,制定护理措施,减少新生儿外周静脉输液渗漏发生.
Abstract
Objective:To retrieve,evaluate,and summarize relevant evidence on the prevention and management of infiltration and extravasation injuries in neonates to guide clinical practice.Methods:We searched UpToDate,BMJ Best Practice,CNKI and other Chinese and English database or websites to collect relevant guidelines,clinical decisions,evidence summaries,systematic reviews and expert consensuses published from January 1,2013 to March 31,2024.Four researchers who had received systematic evidence-based knowledge training independently evaluated the quality of the literature and extracted evidence.Results:A total of 10 articles were included,including 4 guidelines,3 expert consensuses,and 3 systematic reviews.A total of 24 pieces of evidence were collected,mainly involving 4 aspects of skin assessment,venous catheter assessment,classification and treatment of infiltration and extravasation,quality control.Conclusion:This study summarizes the evidence for the prevention and management of infiltration and extravasation injuries in neonates,providing a basis for preventing extravasation in clinical intravenous infusion.It suggests that clinical nursing measures should be formulated based on evidence,combined with the actual situation of departments and neonates,to reduce the occurrence of infiltration and extravasation in neonatal peripheral intravenous infusion and improve nursing quality.
基金项目
2022年重庆市科卫联合医学科研项目(2022QNXM031)
维普
万方数据