自体动静脉内瘘狭窄介入治疗手术后管理的证据总结
Evidence summary for the management of autologous arteriovenous fistula stenosis after interventional therapy
刘旺兴 1申微 1罗逊 2施文剑 2彭雪玲 1谢萍 1刘东玲 3胡正中 4李鑫5
作者信息
- 1. 410005 长沙,湖南省人民医院(湖南师范大学附属第一医院)血液净化中心一部
- 2. 410005 长沙,湖南省人民医院(湖南师范大学附属第一医院)肾内科
- 3. 410005 长沙,湖南省人民医院(湖南师范大学附属第一医院)消毒供应中心一部
- 4. 410005 长沙,湖南省人民医院(湖南师范大学附属第一医院)手术室一部
- 5. 410004 长沙,南华大学附属长沙中心医院肿瘤科
- 折叠
摘要
目的 检索并评价整合自体动静脉内瘘(arteriovenous fistula,AVF)狭窄介入治疗手术后管理的相关证据,为临床实践提供循证证据.方法 按照"6S"模型系统检索计算机临床决策系统、指南数据库、国内外数据库及相关专业协会网站关于AVF狭窄介入治疗手术后管理的证据,检索时限为建库至2024年2月26日.由4名研究者独立对各类文献质量评价后进行证据提取与汇总.结果 共纳入9篇文献,其中临床决策5篇、指南3篇、专家共识1篇,从手术后评估与监测、手术后用药、AVF穿刺与维护、并发症预防及处理和患者教育5个方面总结了 25条证据.结论 本研究总结、形成了 AVF狭窄介入治疗手术后管理的最佳证据,具有一定的科学性和实用价值,可为医护人员提供循证依据,对科学护理介入治疗手术后患者的AVF具有指导意义.
Abstract
Objective To retrieve and evaluate the relevant evidence about the integrated management of autologous arteriovenous fistula(AVF)stenosis after interventional therapy,and to provide evidence-based data for clinical practice.Methods According to the"6S"model system,the evidence about postoperative management of AVF stenosis after interventional therapy was retrieved from computer clinical decision-mak-ing system,guideline database,domestic and foreign databases,and websites of relevant professional associa-tions.The retrieval time was ended at February 26,2024.After independent evaluation of the quality of re-trieved documents by four researchers,the evidence was extracted and summarized.Results A total of 9 arti-cles were included,including 5 clinical decisions,3 guidelines and one expert consensus.Twenty-five items of evidence were summarized from five aspects:postoperative evaluation and monitoring,postoperative medi-cation,puncture and maintenance of arteriovenous fistula,prevention and treatment of complications and pa-tient education.Conclusion This study summarizes the best evidence of postoperative management of AVF stenosis after interventional therapy,having scientific and practical value in that it provides evidence-based in-formation for medical and nursing care staff to scientifically manage the AVF stenosis patients after interven-tional therapy.
关键词
动静脉内瘘/经皮腔内血管成形术/循证护理学Key words
Arteriovenous fistula/Percutaneous transluminal angioplasty/Evidence-based nursing care引用本文复制引用
出版年
2024
NETL
NSTL
万方数据