术后危重患者转运的最佳证据总结  

Summary of best evidences for postoperative transport in critically ill patients

作　　者：陈闪闪 孙育红 郭红[1] 胡楠楠 屈简妮 张傲 焦萌 Chen Shanshan;Sun Yuhong;Guo Hong;Hu Nannan;Qu Jianni;Zhang Ao;Jiao Meng(School of Nursing,Beijing University of Chinese Medicine,Beijing 100029,China;Nursing Department,China-Japan Friendship Hospital,Beijing 100029,China)

机构地区：[1]北京中医药大学护理学院,北京100029 [2]中日友好医院护理部,北京100029

出　　处：《中华现代护理杂志》2022年第30期4167-4172,共6页Chinese Journal of Modern Nursing

基　　金：中华医学会杂志社2021—2022年护理学科研究课题(CMAPH-NRP2021011)。

摘　　要：目的检索、评价及整合术后危重患者转运相关证据,为临床制订术后危重患者转运相关策略提供循证依据。方法依据循证"6S"证据资源金字塔模型,按照自上而下的顺序检索中英文数据库、指南网及相关专业协会网站,纳入与危重患者转运相关的临床决策支持、指南、专家共识、证据总结、系统评价、随机对照试验。检索时限为2012年1月1日—2022年1月31日。由4名研究者对指南进行评价,2名研究者对其余类型的证据进行质量评价,2名研究者对纳入的文献进行证据的提取、翻译、整合。结果共纳入16篇文献,其中指南2篇、专家共识1篇、证据总结2篇、系统评价10篇、随机对照试验1篇。最终从转运人员资质及责任、转运设备及技术、安全文化与培训、转运前准备、转运途中护理、转运后交接6个方面汇总49条最佳证据。结论本研究整合了术后危重患者转运相关的最佳证据,为临床制订术后危重患者转运策略提供循证依据。Objective To retrieve,evaluate and integrate the relevant evidence of postoperative critical patient transport,so as to provide evidence-based basis for development of postoperative transport related strategies in critically ill patients.Methods The evidence-based"6S"evidence resource pyramid model was used to search clinical decision support,guidelines,expert consensus,evidence summary,systematic review,and randomized controlled trails(RCT)related to critically ill patient transport from the domestic and foreign databases,guidebooks and relevant professional association websites in a top-down order.The retrieval time was from January 1,2012 to January 31,2022.The quality of guidelines was evaluated by 4 researchers and the quality of other types evidence was assessed by 2 researchers.Two researchers extracted,translated and integrated the evidence entries of the included literature.Results A total of 16 articles were included,including 2 guidelines,1 expert consensus,2 evidence summaries,10 systematic reviews,and 1 RCT.Finally,a total of 49 recommendations were summarized and 6 aspects were integrated,including qualification and responsibility of transport personnel,transport equipment and technology,safety culture and training,preparation before transport,care during transport and handover after transport.Conclusions This study integrates the best evidence related to postoperative transport of critically ill patients,and provides an evidence-based basis for development of postoperative transport related strategies.

关 键 词：循证护理 术后 危重患者 转运 证据总结 

分 类 号：R472[医药卫生—护理学]