摘要
目的:总结俯卧位机械通气患者眼部并发症预防护理的证据,为俯卧位机械通气患者眼部并发症的预防护理实践提供参考.方法:系统检索国内外数据库及专业网站中俯卧位机械通气患者眼部并发症预防护理相关文献,检索时间为2013年10月10日至2024年6月22日,对纳入的文献质量进行评价,提取并整合证据.结果:共纳入12篇文献,包括1篇临床决策、3篇指南、4篇专家共识、1篇推荐实践、1篇证据总结、2篇系统评价,最终形成了包括组织管理、风险评估、眼部护理、体位管理及感染防控5个方面的21条证据.结论:形成的俯卧位机械通气眼部并发症预防护理证据可以为重症监护室医护人员提供临床实践的循证依据.
Abstract
Objective:To summarize the evidence of preventive care of ocular complications in patients with mechanical ventilation in prone position,so as to provide reference for the nursing practice.Methods:Literature on the preventive care of ocular complications in patients with mechanical ventilation in prone position in domestic and foreign databases and professional websites were systematically searched from October 10,2013 to June 22,2024.The quality of the included literature was evaluated,and evidence was extracted and integrated.Results:A total of 12 literature was included,including 1 clinical decision,3 guidelines,4 expert consensus,1 recommended practice,1 evidence summary,and 2 systematic reviews.Finally,a total of 21 pieces of evidence were formed,including 5 aspects of organization and management,risk assessment,eye care,posture management,and infection prevention and control.Conclusion:The evidence summary for preventive care for ocular complications in patients with mechanical ventilation in prone position can provide evidence-based basis for medical staff in intensive care unit.
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