摘要
目的遴选经皮心包引流管护理的相关证据,并总结最佳证据。方法根据PIPOST模式确立循证问题,计算机检索BMJ最佳临床实践、中国生物医学数据库(China Biology Medicine disc,CBM)、UpTodate、Cochrane Libray、Joanna Briggs Institute循证卫生保健中心数据库、中国指南网、英国指南网、美国指南网(National Guide line Clearing house,NGC)、PubMed、EMbase、循证医学数据库(Evidencebased Medicine,EBM)、加拿大安大略注册护理协会(Registered Nurses'Association of Ontario,RNAO)网站、欧洲心脏病学会网站(The European Society of Cardiology,ESC)、美国心脏病协会网站(American Heart Association,AHA)、中国期刊全文数据库及万方数据库。检索时间为建库至2020年12月31日。由2名研究人员分别对纳入文献的质量进行评价和资料提取,对符合标准的文献进行证据的总结和归纳。结果最终纳入12篇文献,包括1篇证据总结,2篇系统综述,1篇系统评价,2篇指南,1篇专家共识,5篇病例系列研究。最终形成11条证据,包括6个主题:引流管选择、穿刺口护理、引流量控制、冲封管、观察及记录要点、拔管指征及护理。结论本研究总结了目前关于经皮心包引流管护理的最佳证据,为提高经皮心包引流管护理的质量提供循证依据。
Objective To select the relevant evidence of percutaneous pericardial drainage tube nursing and summarize the best evidence.Methods Evidence-based questions were established based on PIPOST model.BMJ Best Clinical Practice,China Biology Medicine disc(CBM),UpTodate,Cochrane Library,Joanna Briggs Institute Evidence-based Health Care Database,China Guide Network,British Guide Network,National Guide Line Clearing House(NGC),PubMed,EMbase,Evidence-based Medicine(EBM),Registered Nurses'Association of Ontario(RNAO),The European Society of Cardiology(ESC),American Heart Association(AHA),Chinese Journal Full-text Database and Wanfang Database were conducted computer retrieval.The search time was from the establishment of the database to December 31,2020.Two researchers respectively evaluated the quality of the included literature and extracted data and summarized and summarized the evidence that met the standards.Results Finally,12 articles were included,including 1 evidence summary,2 systematic reviews,1 systematic assesment,2 guidelines,1 expert consensus and 5 case series studies.Finally,11 pieces of evidence were formed,including 6 themes such as drainage tube selection,puncture wound nursing,drainage flow control,flushing and sealing of the tube,observation and recording points,extubation indications and care.Conclusions This study summarizes the best evidence for percutaneous pericardial drainage tube nursing,which provides evidence-based basis for improving the quality of percutaneous pericardial drainage tube care.
作者
刘雪梅
顾玉琴
于红静
黎婉婷
曹小翠
袁丽莹
宋健
邝永炎
周彩银
杨琳
李纹
凌冬兰
郭玮
Liu Xuemei;Gu Yuqin;Yu Hongjing;Li Wanting;Cao Xiaocui;Yuan Liying;Song Jian;Kuang Yongyan;Zhou Caiyin;Yang Lin;Li Wen;Ling Donglan;Guo Wei(Institute of Cardiovascular Diseases,the Second Affiliated Hospital of Guangzhou Medical University,Guangzhou 510260,China;Nursing Department,the Second Affiliated Hospital of Guangzhou Medical University,Guangzhou 510260,China;School of Nursing,Guangzhou Medical University,Guangzhou 510180,China)
出处
《中华现代护理杂志》
2021年第32期4453-4458,共6页
Chinese Journal of Modern Nursing
基金
2020年广医二院护理循证基金(B202005)。
关键词
心包穿刺术
经皮心包引流管护理
证据总结
循证护理
Pericardiocentesis
Percutaneous pericardial drainage tube nursing
Evidence summary
Evidence-based nursing
