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 ›› 2023, Vol. 23 ›› Issue (1): 93-99.doi: 10.3969/j.issn.1672-1756.2023.01.018

• 循证护理 • 上一篇    下一篇

卒中后吸入性肺炎预防与管理的证据总结

颜兵倩 张延红 刘延敏 崔会   

  1. 承德医学院,067000 河北省承德市(颜兵倩,刘延敏);承德医学院附属医院护理部(张延红);质量控制办公室(崔会)
  • 出版日期:2023-01-15 发布日期:2023-01-15
  • 通讯作者: 张延红,硕士,主任护师,护理部副主任,E-mail:15633142676@163.com E-mail:E-mail:912485361@qq.com
  • 作者简介:颜兵倩,硕士在读,护师,E-mail:912485361@qq.com
  • 基金资助:
    2021年度河北省医学科学研究课题(20210454)

Summary of evidence for the prevention and management of post-stroke aspiration pneumonia

YAN Bingqian, ZHANG Yanhong, LIU Yanmin, CUI Hui   

  1. Chengde Medical University, Chengde, Hebei province, 067000, China
  • Online:2023-01-15 Published:2023-01-15
  • Contact: E-mail:15633142676@163.com E-mail:E-mail:912485361@qq.com

摘要: 目的:检索并获取国内外卒中后吸入性肺炎预防与管理的相关证据,并对证据进行总结。方法:系统检索数据库中有关卒中后吸入性肺炎预防与管理的所有证据,包括临床指南、专家共识、证据总结、系统评价、原始研究。由4名经过系统循证知识培训的研究人员对文献质量进行评价,同时结合专业判断,选取符合纳入标准的文献,并提取证据。结果:共纳入18篇文献,其中指南1篇,专家共识2篇,系统评价6篇,证据总结1篇,原始研究8篇。最终提取出与卒中后吸入性肺炎预防与管理的相关证据,整理为多学科团队建立、吞咽困难的筛查与康复训练、误吸预防、药物预防与治疗、口腔卫生、营养支持6个方面,共30条证据。结论:本研究总结的卒中后吸入性肺炎预防与管理的最佳证据具有一定的科学性和实用性,在一定程度上可为临床医护人员有针对性地开展证据应用提供循证依据。

关键词: 卒中;吸入性肺炎;证据总结;预防;循证护理

Abstract: Objective: To search and obtain relevant evidence on the prevention and management of post-stroke aspiration pneumonia at home and abroad, and summarize the evidence. Methods: We systematically searched all evidences related to the prevention and management of post-stroke aspiration pneumonia, including clinical guidelines, expert consensus, evidence summary, systematic evaluation, randomized controlled trials and quasi-experimental studies. Four researchers trained in systematic evidence-based knowledge evaluated the quality of the studies, selected studies that met the inclusion criteria with professional judgment, and extracted the evidence. Results: Totally 18 literature were included, including 1 guideline, 2 expert consensus, 6 systematic reviews, 1 evidence summary, and 8 original studies. The evidence related to post-stroke aspiration pneumonia was extracted and sorted into 6 aspects, a total of 30 pieces of evidence. The 6 aspects were establishment of multidisciplinary team, screening and rehabilitation training of dysphagia, aspiration prevention, drug prevention, oral hygiene, and nutritional support. Conclusion: This study summarized the best evidence for the prevention and management of post-stroke aspiration pneumonia, which is scientific and practical to a certain degree, and can provide evidence-based basis for clinical medical staff to carry out targeted evidence application.

Key words: stroke; aspiration pneumonia; evidence summaries; prevention; evidence based nursing

中图分类号:  R47;R197