自体动静脉内瘘功能不良监测相关指南的质量评价及内容分析  

Quality evaluation and content analysis of arteriovenous fistula dysfunction monitoring guidelines

作　　者：刘瑶 丁炎明[2] 李晶[2] 苏莉 刘天姣[3] 陶珍晖[3] 于重燕[3] 曹立云[3] 邓俊[2] 刘霞[2] 王志稳[1] Liu Yao;Ding Yanming;Li Jing;Su Li;Liu Tianjiao;Tao Zhenhui;Yu Chongyan;Cao Liyun;Deng Jun;Liu Xia;Wang Zhiwen(School of Nursing,Peking University,Beijing100191,China;Nursing Department,Peking University First Hospital,Beijing 100034,China;Nephrology Department,Peking University First Hospital,Beijing 100034,China;Department of Cardiology,Peking University First Hospital,Beijing 100034,China)

机构地区：[1]北京大学护理学院,100191 [2]北京大学第一医院护理部,100034 [3]北京大学第一医院肾内科,100034 [4]北京大学第一医院心内科,100034

出　　处：《中华现代护理杂志》2019年第36期4719-4723,共5页Chinese Journal of Modern Nursing

摘　　要：目的对血液透析患者自体动静脉内瘘功能不良监测相关的指南进行质量评价和内容分析,为构建本土化临床实践方案提供参考。方法计算机检索国内外指南网站、专业学会/协会网站及电子数据库并进行筛选,采用AGREEⅡ和JBI关于共识类文章的质量评价工具进行质量评价,对纳入指南的推荐意见进行整合。结果共纳入4篇循证指南和1篇专家共识,总体质量评价为A级3篇,B级1篇。共提取出政策制定、团队组建、监测技术、人员培训、持续质量改进、风险评估、健康教育7个方面的12项内容。4篇循证指南的组内相关系数0.866~0.935。结论纳入指南整体质量较高,应用性领域有待加强。各指南的推荐意见基本一致,可为构建本土化临床实践方案提供依据。Objective To carry out quality assessment and content analysis on guidelines on arteriovenous fistula(AVF)dysfunction monitoring in hemodialysis patients so as to provide a reference for building the localized clinical practice plan.Methods Documents were retrieved in guideline websites,professional society websites and electronic databases at home and abroad by computer.Quality assessment was carried out with the appraisal of guidelines for research and AGREEⅡand JBI quality assessment tool on consensuses,and the recommendations of included guidelines were summarized.Results Totals of 4 evidence-based guidelines and one consensus were included with three of them in the level A and one in the level B of overall quality evaluation.A total of 12 items in 7 aspects were extracted including policy-making,team building,monitoring technology,training of personnel,continuous quality improvement,risk assessment and health education.Intraclass correlation coefficients of 4 evidence-based guidelines ranged from 0.866 to 0.935.Conclusions The guidelines have high levels of overall quality,but applicability needs to be improved.The recommendations are in general accord with each other,which can provide a basis for building the localized clinical practice plan.

关 键 词：自体动静脉内瘘 血液透析 指南 质量评价 

分 类 号：R473.5[医药卫生—护理学]