摘要
目的 检索、评价、提取并汇总成人急性呼吸道传染病患者俯卧位通气管理的最佳证据,为俯卧位通气规范化治疗提供循证依据.方法 根据"6 S"证据模型,系统检索各指南网站及中英文数据库相关文献,由研究人员对纳入文献进行质量评价、证据提取与汇总.结果 共纳入 11 篇文献,包括 3 篇临床决策、5 篇指南、1 篇证据总结、2 篇专家共识.最终形成包括人员准备、院感防控、护理评估、实施要点、风险管理、健康教育和特殊人群照护等 7 个方面共 48 条的最佳证据.结论 在证据应用过程中医护人员应基于具体临床情境,制订个体化俯卧位通气治疗方案,以改善患者临床结局.
Abstract
Objective To search,evaluate,extract and summarize the best evidence of prone ventilation manage-ment in adult patients with acute respiratory infectious diseases,and provide evidence-based basis for the standardized treatment of prone ventilation.Methods According to the"6 S"evidence model,the related literatures were systemati-cally searched from guideline websites and Chinese and English databases.The quality evaluation,evidence extraction and summary of the included literatures were carried out by researchers.Results A total of 11 literatures were includ-ed,including 3 clinical decision-making literatures,5 guidelines,1 evidence summary,and 2 expert consensus.48 best pieces of evidence were summarized,including 7 aspects:personnel preparation,infection control,nursing evaluation,implementation points,risk management,health education,and special population care.Conclusion In the process of evidence application,medical staff should formulate an individualized prone position ventilation treatment plan based on the specific clinical situation to improve the clinical outcome of patients.
基金项目
上海市卫生健康委员会科研课题项目(202240298)
NETL
NSTL
万方数据