摘要
目的总结预防ICU患者谵妄发生环境管理的相关证据,为ICU患者谵妄管理提供参考。方法依据PIPOST模型构建循证问题,按照证据资源"6S"模型系统检索国内外各类指南网站、循证数据库、综合数据库等发布的相关临床决策、指南、专家共识、系统评价、证据总结,检索时限均为建库至2022年9月3日。由2名研究人员采用相应的文献质量评价工具独立进行文献质量评价,采用乔安娜布里格斯研究所循证卫生保健中心的证据预分级和证据推荐级别系统(2014版)对纳入证据进行分级和推荐。结果共纳入文献30篇,其中指南5篇,专家共识2篇,临床推荐实践1篇,证据总结4篇,系统评价18篇。从优化环境、促进睡眠、认知刺激、定位及定向功能、安全保障5个方面总结出36条最佳证据。结论医护人员应基于循证证据对ICU环境进行管理,预防或减少患者谵妄的发生。
Objective To summarize the relevant evidence of environmental management for preventing delirium in ICU patients,so as to provide references for delirium management in ICU patients.Methods Evidence-based questions were constructed according to the PIPOST model,and relevant clinical decisions,guidelines,expert consensus,systematic reviews and evidence summaries published by various guideline websites,evidence-based databases and comprehensive databases at home and abroad were systematically searched according to the evidence resource"6S"model.The search period was from the establishment of databases to September 3,2022.Two researchers independently conducted literature quality evaluation using corresponding literature quality evaluation tools.The Joanna Briggs Institute(JBI)Evidence Pre-grading and Evidence Recommendation Grading System(2014 Edition)was used to grade and recommend included evidence.Results A total of 30 articles were included,including 5 guidelines,2 expert consensus,1 clinical recommended practice,4 evidence summaries and 18 systematic reviews.A total of 36 best evidences were summarized from 5 aspects,including environment optimization,sleep promotion,cognitive stimulation,positioning and orientation function,and safety protection.Conclusions Medical staff should manage the ICU environment based on evidence-based evidence to prevent or reduce the occurrence of delirium in patients.
作者
朱宏梅
谷一梅
许敏
梁丽娜
葛刘娜
胡安妮
韩江英
Zhu Hongmei;Gu Yimei;Xu Min;Liang Lina;Ge Liuna;Hu Anni;Han Jiangying(Department of Emergency,the First Affiliated Hospital of Anhui Medical University,Hefei 230088,China;EICU,the First Affiliated Hospital of Anhui Medical University,Hefei 230088,China;Department of Nursing,the First Affiliated Hospital of Anhui Medical University,Hefei 230088,China)
出处
《中华现代护理杂志》
2023年第33期4550-4557,共8页
Chinese Journal of Modern Nursing
基金
复旦大学循证护理中心证据转化与临床应用项目(Fudanebn202225)。
