摘要
目的:总结血液透析病人自体动静脉内瘘自我管理的最佳证据。方法:系统检索循证决策支持系统、指南库、相关指南发布网站及中英文医学数据库中有关血液透析病人自体动静脉内瘘自我管理的证据,文献类型包括临床决策、临床指南、证据总结、系统评价、专家共识等。检索时限为建库至2023年2月28日。由循证团队进行证据的提取、汇总及文献质量评价。结果:共纳入文献37篇,其中6篇指南,3篇专家共识,2篇系统评价,4篇临床决策,3篇证据总结,19篇随机对照试验研究。结合临床专业人员意见汇总出:动静脉内瘘监测和体格检查、动静脉内瘘的评估、健康教育、相关人员的教育培训、规范使用动静脉内瘘、应用合理的护理管理方法和“互联网+”延续性护理7个主题,共37条证据。结论:总结的自体动静脉内瘘自我管理最佳证据,可为有效延长病人自体动静脉内瘘使用时间,提高病人动静脉内瘘自我管理能力和生活质量提供参考。
Objective:To summarize the best evidence on self-management of autogenous arteriovenous fistula in hemodialysis patients.Methods:Evidence about self-management of autologous arteriovenous fistula in hemodialysis patients,including clinical decision-making,clinical guidelines,evidence summary,systematic evaluation,expert consensus,etc.,were retrieved from evidence-based decision support system,guideline database,relevant guideline publishing websites,and Chinese and English medical databases.The retrieval deadline is from of the database to February 28,2023.The evidence-based team extracted,summarized,and evaluated the quality of the literature.Results:A total of 37 articles were included,including 6 guidelines,3 expert consensus articles,2 systematic reviews,4 clinical decision-making articles,3 evidence summaries,and 19 randomized controlled trials.A total of 7 themes were summarized according to the opinions of clinical professionals,including monitoring of arteriovenous fistula and physical examination,assessment of arteriovenous fistula,health education,education and training of relevant personnel,standardized use of puncture arteriovenous fistula,application of reasonable nursing management methods,and‘Internet+’continuous care,involving 37 pieces of evidence.Conclusions:The best evidence for the self-management of autologous arteriovenous fistula could provide a reference for effectively prolonging the use time of autologous arteriovenous fistula,improving the self-management ability and quality of life of patients with arteriovenous fistula.
作者
金晓瑜
吴风如
刘露凝
范宇莹
JIN Xiaoyu;WU Fengru;LIU Luning;FAN Yuying(School of Nursing,Harbin Medical University,Heilongjiang 150081 China)
出处
《循证护理》
2023年第17期3051-3058,共8页
Chinese Evidence-Based Nursing
基金
国家自然科学基金资助项目,编号:72174048。
关键词
血液透析
自体动静脉内瘘
自我管理
循证护理
证据总结
hemodialysis
autogenous arteriovenous fistula
self-management
evidence-based nursing
evidence summary
