主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2022, Vol. 22 ›› Issue (11): 1669-1675.doi: 10.3969/j.issn.1672-1756.2022.11.014

• 循证护理 • 上一篇    下一篇

危重症儿童院际转运组织与实施的证据总结

王蓓蓓 顾莺 胡静 陆国平 程晔 康琼芳 张青青 沈伟杰   

  1. 复旦大学附属儿科医院重症医学科,201102 上海市(王蓓蓓,陆国平,程晔,沈伟杰);护理部(顾莺,胡静,康琼芳);复旦大学护理学院(张青青)
  • 出版日期:2022-11-15 发布日期:2022-11-15
  • 通讯作者: 顾莺,博士,主任护师,护理部主任,E-mail:guying0128@aliyun.com
  • 作者简介:王蓓蓓,硕士在读,主管护师
  • 基金资助:
    国家重点研发计划(2021YFC2701800,2021YFC2701805);2022年度上海市市级医院诊疗技术推广及优化管理项目(SHDC22022221)

Evidence summary for inter-hospital transport of critically ill children

WANG Beibei, GU Ying, HU Jing, LU Guoping, CHENG Ye, KANG Qiongfang, ZHANG Qingqing, SHEN Weijie   

  1. Pediatric Intensive Care Unit, Children's Hospital of Fudan University, Shanghai, 201102, China
  • Online:2022-11-15 Published:2022-11-15
  • Contact: E-mail:guying0128@aliyun.com

摘要: 目的:整合危重症儿童院际转运的相关证据。方法:计算机检索网站中关于危重症儿童院际转运的临床决策支持、临床实践指南、最佳实践信息册、推荐实践、系统评价、证据总结、专家共识,进行方法学质量评价后,依据主题进行证据提取与汇总。结果:根据纳入标准共筛出10篇文献,包括指南9篇、专家建议1篇。通过阅读、提取和归类,总结了转运启动和响应、转运前准备、稳定与评估、交接与沟通、组织转运、转运中监护与干预、家庭支持以及评价与记录8个主题的51条证据。结论:总结出的危重症儿童院际转运的最佳证据为实施危重症儿童转运提供了参考依据,医护人员应结合实际临床情境制定危重症儿童院际转运规范,保障转运安全。

关键词: 危重症儿童;院际转运;证据总结;循证护理

Abstract: Objective: Summarize the available evidence on inter-hospital transport of critically ill children. Methods: We searched websites and databases to obtain evidence. The eligible types of evidence include clinical decision support, clinical practice guidelines, best practice recommendations, systematic reviews, evidence summary and expert consensus. Results: Totally 10 references were retrieved according to the inclusion criteria, including nine guidelines and one expert opinion. Fifty-one items of evidence were summarized into the following 8 categories: transport initiation and response, pre-transport preparation, stabilization and assessment, handover and communication, organization of transport, monitoring and intervention during transport, family support, evaluation and recording. Conclusion: This study summarized the best evidence for inter-hospital transport of critically ill children, which provided a reference basis for its implementation. Medical institutions should develop standardized, efficient and organized procedures for inter-hospital transport of critically ill children within the local context to improve patient safety.

Key words: critically ill children; inter-hospital transfer; evidence summary; evidence-based nursing

中图分类号:  R47;R197