中华急危重症护理杂志2024,Vol.5Issue(12) :1096-1103.DOI:10.3761/j.issn.2096-7446.2024.12.007

预防新生儿无创通气设备相关压力性损伤的最佳证据总结

Best evidence summary for prevention of pressure injury related to noninvasive ventilation in neonates

孙兴 李克华 刘蓓蓓 田莹莹 徐微
中华急危重症护理杂志2024,Vol.5Issue(12) :1096-1103.DOI:10.3761/j.issn.2096-7446.2024.12.007

预防新生儿无创通气设备相关压力性损伤的最佳证据总结

Best evidence summary for prevention of pressure injury related to noninvasive ventilation in neonates

孙兴 1李克华 2刘蓓蓓 1田莹莹 3徐微1
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作者信息

  • 1. 210011 南京市 南京医科大学附属妇产医院新生儿科
  • 2. 210011 南京市 南京医科大学附属妇产医院新生儿家庭化陪护病房
  • 3. 210011 南京市 南京医科大学附属妇产医院护理部
  • 折叠

摘要

目的 全面检索、评价和总结新生儿无创通气设备相关压力性损伤预防的最佳证据.方法 计算机检索国内外各大数据库、相关专业协会网站中关于新生儿无创通气设备相关压力性损伤预防的临床决策、最佳实践、指南、证据总结、专家共识、系统评价,检索时限为建库至2023年7月31日.结果 共纳入文献9篇,包括临床决策1篇、指南3篇、证据总结2篇和专家共识3篇,从风险评估、营养管理、保持皮肤清洁及适宜的温湿度、敷料的正确使用、合理正确使用无创通气设备、多学科团队与教育培训6个方面共总结了 21条最佳证据.结论 该研究总结了预防新生儿无创通气设备相关压力性损伤的最佳证据,建议医务人员根据临床情景及新生儿的个体化差异有针对性地选择最佳证据并应用于临床,以降低新生儿无创通气设备相关压力性损伤的发生率,提升整体护理质量及家属满意度.

Abstract

Objective To comprehensively search,evaluate and summarize the best evidences on the prevention of pressure injury related to noninvasive ventilation in neonates.Methods The clinical decisions,recommended practices,guidelines,evidence summaries,expert consensuses,and systematic evaluations on the prevention of pressure injury related to noninvasive ventilation of neonates in domestic and foreign databases and related professional websites were searched by computer.The retrieval time was from the establishment of database to July 31,2023.Results A total of 9 literature were included,including 1 clinical decision,3 guidelines,2 evidence summaries and 3 expert consensuses.A total of 21 pieces of best evidences were summarized from 6 aspects,including risk assessment,nutrition management,keeping skin clean and appropriate temperature and humidity,proper use of dressing,proper use of noninvasive ventilation equipment,multidisciplinary team and educational training.Conclusion This study summarized the best evidences for the prevention of pressure injury related to noninvasive ventilation in neonates.It is suggested that medical staff can select the best evidences according to the clinical situation and individualized differences of infants to reduce the incidence of pressure injuries related to noninvasive ventilation and improve the overall quality of nursing care and family satisfaction.

关键词

婴儿,新生/无创通气/压力性损伤/循证护理学/证据总结

Key words

Infant,Newborn/Noninvasive Ventilation/Pressure Ulcer/Evidence-Based Nursing/Evidence Summary

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出版年

2024
中华急危重症护理杂志

中华急危重症护理杂志

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