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 (4): 545-550.doi: 10.3969/j.issn.1672-1756.2023.04.013

• 循证护理 • 上一篇    下一篇

俯卧位通气患者器械相关压力性损伤预防的证据总结

陈能锐 秦薇 张琦 李静怡 郑峥   

  1. 复旦大学护理学院,200032 上海市(陈能锐);复旦大学附属中山医院护理部(秦薇,张琦);RICU(李静怡);内科(郑峥)
  • 出版日期:2023-04-15 发布日期:2023-04-15
  • 通讯作者: 秦薇,本科,主任护师,护理部副主任,E-mail:qin.wei@zs-hospital.sh.cn
  • 作者简介:陈能锐,硕士在读
  • 基金资助:
    复旦大学-复星护理科研基金(FNF202114)

Summary of the evidence for the prevention of device related pressure ulcers in patients with prone position ventilation

CHEN Nengrui, QIN Wei, ZHANG Qi, LI Jingyi, ZHENG Zheng   

  1. School of Nursing, Fudan University, Shanghai, 200032, China
  • Online:2023-04-15 Published:2023-04-15
  • Contact: E-mail:qin.wei@zs-hospital.sh.cn

摘要: 目的:汇总国内外行俯卧位通气的患者器械相关压力性损伤预防的证据。方法:系统检索国内外指南网站、专业学会、数据库等的相关文献,检索时限为建库至2022年11月1日,纳入符合条件的研究并进行质量评价,提取证据并汇总分级。结果:纳入文献24篇,其中指南6篇、专家共识6篇、系统评价8篇、证据总结4篇。汇总形成风险评估、皮肤评估、器械的选择和使用、支撑面管理、体位变化、潮湿度管理、信息提供7个主题,共26条证据。结论:临床工作人员应基于前期充分的风险评估开展俯卧位通气患者器械相关压力性损伤预防,重视患者受压面的管理,丰富减压措施,保证预防策略的科学性和系统性。

关键词: 俯卧位通气;器械相关压力性损伤;证据总结;循证护理

Abstract: Objective: To summarize the evidence on the prevention of device related pressure ulcers in critically ill patients with prone position in the domestic and overseas. Methods: Relevant literatures from domestic and foreign guideline websites, professional association and databases were systematically retrieved until Nov 1, 2022. The qualified studies were included and evaluated for quality, and evidence was scientifically extracted, summarized and graded. Results: A total of 24 literatures were included with 6 guidelines, 6 expert consensus, 8 systematic reviews, and 4 evidence summaries. The summary included 26 pieces of evidence in 7 topics, including risk assessment, skin assessment, selection and use of devices, surface management, position changes, moisture management and information provision. Conclusion: Clinical staff should carry out evidence-based prevention of device related pressure ulcers in critically ill patients with prone position based on adequate risk assessment in the early stage, attach importance to the management of patients' pressed skin, take a variety of decompression measures to ensure the prevention strategies are scientific and systematic.

Key words: prone position ventilation; Device Related Pressure Ulcers; evidence summary; evidence based nursing

中图分类号:  R47;R197