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 ›› 2024, Vol. 24 ›› Issue (7): 1076-1081.doi: 10.3969/j.issn.1672-1756.2024.07.022

• 儿科护理专题 • 上一篇    下一篇

儿童家庭机械通气管理的证据总结

李墨 范玲 贺琳晰 王思琦   

  1. 中国医科大学附属盛京医院护理部,110022 沈阳市(李墨,范玲,王思琦);儿科重症监护室(贺琳晰)
  • 出版日期:2024-07-15 发布日期:2024-07-15
  • 通讯作者: 范玲,硕士,教授,护理部主任,E-mail:fanl@sj-hospital.org
  • 作者简介:李墨,硕士在读
  • 基金资助:
    2022年度辽宁省普通高等教育本科教学改革研究项目(2022485)

Evidence summary for the management of pediatric Home Mechanical Ventilation

LI Mo, FAN Ling, HE Linxi, WANG Siqi   

  1. Nursing Department, Shengjing Hospital of China Medical University, Shenyang, 110022, China
  • Online:2024-07-15 Published:2024-07-15
  • Contact: E-mail:fanl@sj-hospital.org

摘要: 目的:检索、评价并总结儿童家庭机械通气管理的证据,对需要家庭机械通气的儿童提供标准化的评估和管理证据。方法:基于PIPOST模式确定循证问题,按照“6S”模型对国内外相关学会、指南、数据库网站进行文献检索,检索时限为建库至2023年8月。对文献质量进行评价,并提取相关证据。结果:共纳入11篇文献,其中指南4篇、专家共识2篇、系统评价1篇、队列研究2篇以及类实验性研究2篇。从儿童家庭机械通气管理的前期准备、照顾者培训、设备与安全、家庭护理技术、随访监测以及长期发展6个方面共形成28条证据。结论:儿童由医院过渡到家庭是一个烦琐、复杂的过程,临床应该制定个体化的出院计划以及后续随访计划,以提高儿童及其家庭的生活质量,尽可能地延长儿童生命。

关键词: 儿童;家庭机械通气;长期机械通气;家庭;循证护理学

Abstract: Objective: To retrieve, evaluate and summarize the evidence on Home Mechanical Ventilation (HMV) for children, and to provide standardized assessment and management evidence for children in need of HMV. Methods: The evidence-based questions were identified based on the PIPOST model, and the literature was retrieved according to the "6S" model from inception to August 2023. Professional evidence-based nurses evaluated the quality of the literature and extracted relevant evidence. Results: A total of 11 articles were included, including 4 guidelines, 2 expert consensuses, 1 systematic review, 2 cohort studies and 2 quasi-experimental studies. A total of 28 pieces of evidence were formed from six aspects: preliminary preparation for discharge, caregiver training, equipment and safety, home care technology, follow-up monitoring, and long-term development. Conclusion: The transition of children in need of mechanical ventilation from hospital to home is a cumbersome and complex process, and individualized discharge plans and follow-up plans should be formulated to improve the quality of life of children and their families, and prolong children's life as much as possible.

Key words: children; Home Mechanical Ventilation; long-term mechanical ventilation; family; evidence-based nursing

中图分类号:  R47;R197