以质量求发展，以服务铸品牌

护理学报 ›› 2021, Vol. 28 ›› Issue (10): 45-51.doi: 10.16460/j.issn1008-9969.2021.10.045

• 循证护理 • 上一篇    下一篇

ICU患者压力性损伤预防的最佳证据总结

秦鸿利1a, 赵震1b, 王艳芳2, 卢颖1a, 王志霞1c, 李黎明1a   

  1. 1.河南省人民医院 a.护理部; b.急危重症医学科; c.胃肠外科,河南 郑州 450003;
    2.南方医科大学南方医院 药物临床试验中心,广东 广州 510515
  • 收稿日期:2020-07-07 出版日期:2021-05-25 发布日期:2021-06-09
  • 通讯作者: 李黎明（1967-）,女,河南郑州人,硕士,主任护师。E-mail: syliliming868199@126.com
  • 作者简介:秦鸿利（1991-）,女,河南郑州人,硕士,主管护师。
  • 基金资助:
    河南省科技攻关基金资助项目（182102310147）

Best Evidence Summary for Prevention of Pressure Ulcer in ICU Patients

QIN Hong-li1a, ZHAO Zhen1b, WANG Yan-fang2, LU Ying1a, WANG Zhi-xia1c, LI li-ming1a   

  1. 1a. Dept. of Nursing Administration; 1b. Dept. of Emergency and Critical Care Medicine; 1c. Dept. of Gastrointestinal Surgery,Henan Provincial People's Hospital, Zhengzhou 450003,China;
    2. Drug Clinical Trials Center, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China
  • Received:2020-07-07 Online:2021-05-25 Published:2021-06-09

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摘要： 目的 检索、评价和总结ICU患者压力性损伤预防的最佳证据,为临床实践提供循证依据。方法 检索JBI、Up To Date、BMJ Best Practice、国际指南图书馆、美国指南网、英国国家临床医学研究所指南库、Cochrane Library、医脉通、PubMed、CINAHL、EMbase、万方数据库、中国知网、中国生物医学文献数据库并补充检索了相关官方网站。结果 共筛选证据14篇,包括指南7篇、证据总结1篇、系统评价2篇、随机对照试验3篇和专家共识1篇,最终总结了40条最佳证据。结论 临床护理人员需结合专业判断、患者的需求和偏好以及应用证据的场景,有针对性的选择最佳证据,降低ICU患者压力性损伤的发生率,提高护理质量。

关键词: 重症监护病房, 压力性损伤, 预防, 循证护理

Abstract: Objective To retrieve, evaluate and summarize the best evidence for prevention of pressure ulcer in ICU patients and provide reference for clinical practice. Methods We searched literature from Joanna Briggs Institute(JBI), Up To Date, BMJ Best Practice, Guidelines International Network(GIN), National Guideline Clearinghouse(NGC), National Institute for Health and Care Excellence(NICE), Cochrane Library, Yi Maitong, PubMed, CINAHL, Embase, Wanfang Data, CNKI and CBM, and relevant official websites. Results Fourteen pieces of evidence were selected, including 7 guidelines, 1 evidence summary, 2 systematic reviews, 3 randomized controlled trials and 1 expert consensus. Forty pieces of best evidence were summarized. Conclusion It is suggested that clinical nursing staff should take clinical expertise, patient preference and clinical context into consideration to select the best evidence, thus to reduce the incidence of pressure ulcer in ICU patients and improve nursing quality.

Key words: intensive care unit, pressure ulcer, prevention, evidence-based nursing

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