摘要
目的在新生儿低血糖风险预测模型构建完成的基础上应用循证方法学构建新生儿低血糖分级预防护理标准化知识库,为实现新生儿低血糖预见性的风险管理提供决策基础。方法以2020年发表的新生儿低血糖预防与管理策略中总结的最佳证据为基础,补充检索BMJ Best Practice、UpToDate、加拿大安大略注册护士协会、中国知网等国内外数据库和专业协会网站中关于新生儿低血糖预防与管理的所有证据,检索时限为2019年9月1日至2022年8月31日,对新纳入的文献质量进行评价,提取新证据,并与2020年发表的新生儿低血糖预防与管理策略中的最佳证据进行汇总、合并,形成知识库初稿,邀请新生儿护理领域专家对知识库各条目进行修改与讨论,形成知识库终稿。以临床护理分类系统2.5版作为标准化语言对知识库终稿进行编码。结果以新生儿低血糖风险预测模型作为分级工具,预防护理知识库终稿包括1项护理诊断,6个模块,18项具体的预防护理措施。结论基于风险预测模型的新生儿低血糖分级预防护理知识库可以实现新生儿低血糖预见性的风险管理,具有科学性与实用性,是辅助护理人员作出临床决策的基础。
Objective To build the standardized knowledge base for hierarchical prevention care of neonatal hypoglycemia based on the risk prediction model of neonatal hypoglycemia,and to provide a decision-making basis for risk management to achieve predicitive neonatal hypoglycemia.Methods Based on the best evidence summarized in strategies for the prevention and management of neonatal hypoglycemia published in 2020,evidence on the prevention and management of neonatal hypoglycemia was searched from BMJ Best Practice,UpToDate,Registered Nurses Association of Ontario,CNKI and other domestic and foreign databases and professional association websites.The retrieval period was from September 1,2019 to August 31,2022.The quality of newly included literature was evaluated,new evidence was extracted,and the best evidence in the prevention and management strategy of neonatal hypoglycemia published in 2020 was summarized and combined to form the first draft of the knowledge base.Experts in the field of neonatal nursing were invited to revise and discuss each item of the knowledge base,and the final draft of the knowledge base was formed.The final draft of the knowledge base was coded using the 2.5 version of the Clinical care classification system as the standardized language.Results The risk prediction model of neonatal hypoglycemia was used as a grading tool,the final draft of the knowledge included 1 nursing diagnosis,6 modules and 18 specific preventive nursing measures.Conclusions The knowledge base for hierarchical prevention care of neonatal hypoglycemia based on risk prediction model can realize the prospective hierarchical nursing of neonatal hypoglycemia,which is scientific and practical,and is the basis to assist nurses to make clinical decisions.
作者
刘巧艳
曹松梅
周洁玉
毕荣华
尹卫
步红兵
范伊濛
张欣
Liu Qiaoyan;Cao Songmei;Zhou Jieyu;Bi Ronghua;Yin Wei;Bu Hongbing;Fan Yimeng;Zhang Xin(Endocrinology and Metabolism Department,the Affiliated Hospital of Jiangsu University,Zhenjiang 212001,China;Department of Nursing,the Afiliated Hospital of Jiangsu University,Zhenjiang 212001,China;Pediatrics Department,the Affiliated Hospital of Jiangsu University,Zhenjiang 212001,China;Medical College of Jiangsu University,Zhenjiang 212003,China)
出处
《中国实用护理杂志》
2023年第26期2033-2039,共7页
Chinese Journal of Practical Nursing
基金
2021年度中华护理学会立项科研课题(ZHKY202113)。
关键词
低血糖症
知识库
风险管理
新生儿
临床护理分类系统
Hypoglycemia
Knowledge base
Risk management
Newborn
Clinical care classification system
