摘要
目的评价与总结成人医疗器械相关压力性损伤(medical device-related pressure injury, MDRPI)预防的最佳证据。方法计算机检索BMJ最佳临床实践、JBI循证卫生保健中心数据库、Cochrane图书馆、中国生物医学文献数据库、中国知网等数据库中关于MDRPI预防的所有证据,包括证据总结、临床指南、推荐实践、系统评价及专家共识,检索时限为2014年12月10日至2019年12月10日。结果共纳入5篇文献,包括1篇证据总结、1篇指南、1篇系统评价、2篇专家共识,最终总结出包括器械的使用与放置、皮肤/组织评估、皮肤护理、预防性敷料的选择与使用相关的22条最佳证据。结论本研究对成人医疗器械相关压力性损伤预防证据进行总结,为临床护理人员进行实践变革提供了科学有效的循证依据,建议进行临床应用时,结合科室实际情况针对性选择证据。
Objective To appraise and summarize the best evidence for the prevention of medical device-related pressure injury(MDRPI) in adult patients.Methods Computer retrieval was used for the evidence of prevention of MDRPI in the databases of BMJ best clinical practice,JBI evidence-based health care center database,Cochrane Library,China biomedical literature database,and CNKI,which including evidence summary,clinical guidelines,recommended practice,systematic review and expert concensus.The retrieval period was from December 10,2014 to December 10,2019.Results A total of 5 pieces of literature were included,including 1 evidence summary,1 guideline,1 systematic review,and 2 expert consensuses.Finally, 22 pieces of best evidence related to the use and placement of devices, skin/tissue assessment, skin care, selection and use of preventive dressings were summarized.Conclusions This study summarized the evidence for the prevention of medical device-related pressure injury,providing the scientific and effective evidence-based basis for clinical nurses to carry out practice reform.It is suggested to select evidence according to the actual situation of the department for clinical application.
作者
顾梦倩
曹松梅
陈圣枝
耿翡
赵燕燕
赵家琪
朱丽群
柏素萍
封蔓
贾莹莹
GU Mengqian;CAO Songmei;CHEN Shengzhi;GEN Fei;ZHAO Yanyan;ZHAO Jiaqi;ZHU Liqun;BO Suping;FENG Man;JIA Yingying(Medical College of Jiangsu University,Zhenjiang 212000,Jiangsu Province,China;Department of Nursing,Affiliated Hospital of Jjiangsu University,Zhenjiang 212000,Jiangsu Province,Chi-na;General Surgery Department,Affiliated Hospital of Jiangsu University;Department of Critical Care Medi-cine,Afiliated Hospital of Jiangsu University;Department of Gerontology,Affiliated Hospital of Jiangsu Univer-sity;Department of Burn Orthopedics Afiliated Hospital of Jiangsu University)
出处
《解放军护理杂志》
CSCD
北大核心
2020年第8期48-52,共5页
Nursing Journal of Chinese People's Liberation Army
基金
江苏省研究生实践创新计划项目(SJCX19_1178)
复旦循证护理中心证据转化与临床应用项目(Fudanebn201918)
江苏大学第十八批大学生科研立项重点项目(2019Z14)。
关键词
医疗器械相关压力性损伤
预防
成人
循证护理
medical device related pressure injury
prevention
adult
evidence-based nursing
