摘要
目的检索、评价和整合预防与处理成人输液港堵塞的最佳证据。方法计算机检索BMJ最佳临床实践、UpToData、Cochrane Library、JBI循证卫生保健国际合作中心图书馆、加拿大安大略注册护士协会、美国指南网、PubMed、荷兰医学文摘数据库、中国知网、中国生物医学数据库内有关成人静脉输液港维护的所有证据,包括指南、证据总结、最佳实践信息册、推荐实践、系统评价及专家共识。结果共纳入5篇文献,其中指南1篇、系统评价1篇、证据总结2篇、专家共识1篇。从注射器规格、冲管量、冲管技巧与时机、无针接头选择、处理机械性堵塞、药物性堵塞、血栓性堵塞方面共总结7个方面的最佳证据。结论本研究总结静脉输液港堵塞预防及处理的最佳证据,为医疗机构完善静脉输液治疗管理与护理质量标准提供了循证依据。
Objective To retrieve,appraise and summarize the available evidence on management and prevention of implantable venous access port occlusion in adult patients. Methods We searched the BMJ best practice,Up- ToDate, Cochrane Library,Joanna Briggs Institute Library, Registered Nurses＇ Association of Ontario, National Guide- line Clearinghouse,PubMed,EMbase,CNKl and CBM to collect literatures including guidelines,evidence summary, best practice information sheet,recommended practice,systematic review and consensus. Results Five references ineluding one guideline,one systematic review,two evidence summaries,and one expert consensus were included. A total of eight items of best evidence were summarized with regard to syringe size ,flush volume ,flush technique and frequency of administration,choose of needleless connectors,management of mechanical occlusion,drug/mineral precipitation,and thrombotic occlusion. Conclusion Healtheare workers should regulate the standard of venous access port flushing and locking and manage catheter occlusion in a timely manner,to avoid adverse incidents like interruptions in treatment,baeteremia,and venous thrombosis.
出处
《中华护理杂志》
CSCD
北大核心
2018年第3期346-351,共6页
Chinese Journal of Nursing
基金
江苏省重点学科建设项目"护理学"(苏教研[2012]2号)
关键词
输液港
堵塞
处理
预防
成人
循证医学
Vascular Access Port
Occlusion
Management
Prevention
Adult
Evidence-Based Medicine
