摘要
目的总结成人ICU患者气道廓清的相关证据,为临床护理人员实施气道廓清护理提供循证依据。方法系统检索国内外相关指南网站、循证数据库、协会网站及原始文献数据库中有关ICU患者气道廓清的文献,检索时限为2012年1月1日至2022年3月31日。结果共纳入19篇文献,其中证据总结1篇、指南2篇、系统评价3篇、随机对照试验5篇、专家共识/意见8篇。形成最佳证据35条,包括气道廓清的基本要求、目标人群、操作评估、方案选择、病情观察与监测、注意事项和健康教育7个方面。结论总结的成人ICU患者气道廓清最佳证据内容全面、实用,护理人员应根据患者实际情况,制订有针对性、个体化的气道廓清方案,推动气道廓清的循证证据向临床实践转化,改善ICU患者临床结局及预后。
Objective To summarize the relevant evidence of airway clearance in adult ICU patients and to provide evidence-based reference for nursing staff to implement airway clearance technique.Methods The literature on airway clearance in ICU patients was systematically searched from relevant guideline websites,evidence-based databases,websites of relevant professional society/organizations and original literature databases,and the search period was from January 1,2012 to March 31,2022.Results A total of 19 articles met eligibility criteria,including one evidence summary,two guidelines,three systematic reviews,five randomized controlled trials,and eight expert consensus/opinions statements.A total of 35 pieces of best evidence were formed,including seven aspects:basic requirements of airway clearance,target population,assessment,selection of airway clearance techniques,condition observation and monitoring,notice,and patient education.Conclusion The best evidence of airway clearance in adult ICU patients summarized in this study is comprehensive and practical.Nursing staff should formulate targeted and individualized airway clearance programs according to the actual situation of patients,and promote the implementation of evidence into clinical practice,thus to improve clinical outcome and prognosis of ICU patients.
作者
胡梦阳
黄海燕
罗健
米元元
孟莹莹
刘杨
吴小杰
Hu Mengyang;Huang Haiyan;Luo Jian;Mi Yuanyuan;Meng Yingying;Liu Yang;Wu Xiaojie(School of Nursing,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)
出处
《护理学杂志》
CSCD
北大核心
2023年第2期16-20,共5页
Journal of Nursing Science
关键词
成人
重症监护
气道廓清
证据总结
循证护理
adult
intensive care
airway clearance
evidence summary
evidence-based nursing
