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 (10): 1553-1559.doi: 10.3969/j.issn.1672-1756.2022.10.023

• 循证护理 • 上一篇    下一篇

ICU患儿压力性损伤预防及护理的证据总结

宋楠 王春立 刘文 王聪 杨芹 李丽婷 王旭   

  1. 国家儿童医学中心,首都医科大学附属北京儿童医院护理部, 100045 北京市(宋楠,王春立,杨芹);EICU(刘文,王聪);伤口门诊(李丽婷);PICU(王旭)
  • 出版日期:2022-10-15 发布日期:2022-10-15
  • 通讯作者: 王春立,硕士,主任护师,护理部副主任,E-mail:chunliwang2008@163.com E-mail:E-mail:songnan08290026@163.com
  • 作者简介:宋楠,硕士,主管护师,科护士长,E-mail:songnan08290026@163.com
  • 基金资助:
    首都医科大学附属北京儿童医院护理专项项目(YHL202010)

Evidence summary for the prevention and nursing of Pressure Injury in critical care children

SONG Nan, WANG Chunli, LIU Wen, WANG Cong, YANG Qin, LI Liting, WANG Xu   

  1. Nursing Department, Beijing Children's Hospital, Beijing, 100045, China
  • Online:2022-10-15 Published:2022-10-15
  • Contact: E-mail:chunliwang2008@163.com E-mail:E-mail:songnan08290026@163.com

摘要: 目的:评价并整合国内外ICU患儿压力性损伤预防及护理的证据。方法:计算机检索临床决策及指南网站、专业协会网站、循证文献资源及各大文献数据库中关于ICU患儿压力性损伤预防及护理的指南、证据总结、系统评价、随机对照试验及专家共识等。采用JBI循证中心的文献评价标准和证据分级系统,评价不同类型研究的文献质量并评定其证据级别。结果:本研究共纳入11篇文献,其中1篇指南、5篇证据总结、2篇系统评价、3篇随机对照试验。获取33条证据并归纳为风险评估、器械相关、体位管理、治疗护理、手术预防5个方面。结论:医护人员应结合实际医疗环境和患儿情况,选择最佳证据实施预防及护理,降低压力性损伤发生率,以提高ICU患儿压力性损伤管理的规范性和有效性。

关键词: 儿童;重症患儿;压力性损伤;预防;证据总结

Abstract: Objective: To evaluate and integrate evidences on the prevention and nursing of ICU children's Pressure Injury. Methods: We searched clinical decision-making websites, guidelines, professional association websites, evidence-based literature resources, and databases for guidelines, evidence summaries, best practices, systematic reviews and expert consensus on the prevention and nursing of Pressure Injury in critical care children. The JBI evidence appraisal and recommendation system was used to evaluate the quality of studies and the level of evidences. Results: A total of 11 papers were brought into this study, including 1 guideline, 5 evidence summaries, 2 systematic reviews and 3 Randomized Controlled Trials. Finally 33 pieces of best evidences were summarized, covering 5 aspects including risk assessment, medical device-related, position management, therapeutic nursing and surgical prevention. Conclusion: Nursing staff should choose the best evidence to carry out prevention and nursing of ICU children's Pressure Injuries according to the medical environment and the situation of children, in order to improve the standardization and effectiveness of the ICU children's Pressure Injuries management.

Key words: children; critical care children; Pressure Injury; prevention; evidence summary

中图分类号:  R47;R197