呼吸机雾化吸入疗法护理实践专家共识  

Expert consensus on nursing practice in aerosol inhalation therapy with mechanical ventilation

作　　者：中国研究型医院学会危重医学专委会护理研究学组 吴为 黄海燕[2] 李菠[2] 金歌[3] 邵小平 郭慧玲[2] 胡恩华 程维 尹炜[2] 郝彬[2] 胡莉[2] 尤婷 The study was initiated by the Nursing Research Group of Chinese Research Hospital Association of Critical Care Medicine;Wu Wei;Huang Haiyan;Li Bo;Jin Ge;Shao Xiaoping;Guo Huiling;Hu Enhua;Cheng Wei;Yin Wei;Hao Bin;Hu Li;You Ting(不详;Department of Critical Care Medicine,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,430022;Department of Critical Care Medicine,the First Affiliated Hospital,Zhengzhou University,Zhengzhou,450052;Department of Nursing,the Sixth People’s Hospital,Shanghai Jiaotong University,Shanghai,200233,China)

机构地区：[1]不详 [2]华中科技大学同济医学院附属协和医院重症医学科,湖北武汉430022 [3]郑州大学第一附属医院重症医学科,河南郑州450052 [4]上海交通大学附属第六人民医院护理部,上海200233

出　　处：《现代临床护理》2022年第4期8-17,共10页Modern Clinical Nursing

摘　　要：目的形成呼吸机雾化吸入疗法护理实践专家共识,旨在推进呼吸机雾化吸入疗法护理实践的科学化、标准化,指导临床护理实践。方法成立编写小组,根据文献查阅及对具有相关临床经验的医护人员的访谈,确定成人呼吸机雾化吸入疗法可能存在的临床护理问题;计算机检索中文、英文数据库,根据临床护理问题查找相关循证证据,制订呼吸机雾化吸入疗法护理实践专家共识初稿,编制专家函询问卷,运用德尔菲法经过2轮专家函询和1轮专家论证会,结合循证证据和专家意见,对共识初稿进行反复修订、完善后形成专家共识。结果呼吸机雾化吸入疗法护理实践共识内容包括呼吸机雾化吸入治疗前的准备、病情允许无创通气雾化吸入治疗时可断开呼吸机、呼吸机雾化吸入治疗用药、雾化装置的选择、雾化装置的放置位置、喷射雾化器驱动气源的选择、呼吸机设置、温湿化管理、无创呼吸机联合雾化吸入治疗时面罩的选择、雾化装置的维护10个方面,共23条专家共识。结论最终形成的呼吸机雾化吸入疗法护理实践专家共识,可指导临床护理实践,从而达到提高护理质量及雾化治疗效果的目的。Objective To create an expert consensus on the nursing practice in aerosol inhalation therapy with mechanical ventilation.Methods The proposed expert consensus was preliminarily drafted by a team of nursing specialists taking references from domestic and international literatures as well as interviews of specialist nurses.Finally it entered two rounds of expert consultations and panel discussions to confirm the draft.Results The expert consensus consisted of 10 chapters:preparation for an aerosol inhalation therapy,whether a ventilator should be disconnected during an aerosol inhalation therapy,medication in aerosol inhalation therapy,selection of an atomiser,placement of atomiser,selection of power source for jet atomiser,setting of a ventilator,management of temperature and humidity,selection of a mask for aerosol inhalation therapy with non-invasive ventilator,efficacy evaluation and maintenance of an atomiser.Conclusions The expert consensus will guide the nursing practice,promote the scientisation and standardization of nursing practice in aerosol inhalation therapy with mechanical ventilation hence to improve the quality of nursing and the efficacy of treatment.

关 键 词：呼吸机 雾化吸入疗法 专家共识 循证护理 

分 类 号：R47[医药卫生—护理学]