肺移植患者衰弱评估的最佳证据总结  

Evidence summary of frailty assessment in lung transplant patients

作　　者：顾培培 曾妃[1] 梁江淑渊 胡晓敏 郭璐瑶 章骥韬 蔡凌云 鲁涓涓[2] GU Peipei;ZENG Fei;LIANG Jiangshuyuan;HU Xiaomin;GUO Luyao;ZHANG Jitao;CAI Lingyun;LU Juanjuan

机构地区：[1]浙江大学医学院附属第二医院肺移植科,杭州市310000 [2]浙江大学医学院附属第二医院综合ICU,杭州市310000

出　　处：《中华急危重症护理杂志》2023年第5期463-468,共6页Chinese Journal of Emergency and Critical Care Nursing

基　　金：浙江省医药卫生科技计划项目(2023KY770)。

摘　　要：目的 总结肺移植患者衰弱评估的最佳证据,为临床完善肺移植患者衰弱的管理提供依据。方法 计算机检索BMJ Best Practice、UpToDate、加拿大安大略注册护士协会网站、美国国立指南库、英国国家卫生与临床优化研究所网站、澳大利亚乔安娜布里格斯研究所循证卫生保健中心数据库、Cochrane Library、CINAHL、PubMed、中国知网、万方数据库和国际心肺移植协会网站中与肺移植患者衰弱相关的临床指南、专家共识、证据总结、系统评价,并补充检索设计良好的原始研究,检索时限为建库至2022年9月1日。采用JBI循证卫生保健中心的文献评价标准和证据分级系统进行文献质量评价及证据级别评定。结果 共纳入11篇文献,其中专家共识6篇、系统评价1篇、队列研究4篇。共总结出14条关于肺移植患者衰弱评估的最佳证据,内容涉及评估时机、评估人员、信息来源、评估地点、评估工具和安全保障6个方面。结论 建议肺移植中心结合衰弱指标制订适用于肺移植患者衰弱的特异性风险评估工具。Objective To summarize the best evidence of assessment of frailty in lung transplant patients and to provide evidence for improving the management of frailty in lung transplant patients.Methods We searched BMJ Best Practice,UpToDate,Canada Ontario Association of Registered Nurses,Nation Guidelines Clearinghouse in the United State,National Institute for Health Care Excellence in the United Kingdom,Australia Joanna Briggs Institute Evidence-Based Health Care Center Database,Cochrane Library,CINAHL,PubMed,CNKI,Wanfang Database and the website of the International Society of Heart Lung Transplantation for clinical guidelines,expert consensus,evidence summary and systematic review related to frailty in lung transplant patients and supplemented well-designed original studies.as well as well-designed original studies.The search period was from the establishment of database until September 2022.The quality of literature and the level of evidence were evaluated by the evaluation criteria and evidence grading system of JBI Evidence Based Health Care Center.Results A total of 11 literatures were included,including 6 expert consensus papers,1 systematic review paper and 4 cohort studies.In total,14 pieces of best evidence of lung transplant patients’frailty assessment were obtained,including six aspects:assessment timing,evaluators.,information sources,assessment sites,assessment tools and security.Conclusion It is suggested that lung transplantation centers develop specifie risk assessment tools for screening patients with fraility based on fraility indicators.

关 键 词：肺移植 衰弱 评估 循证护理学 

分 类 号：R473.6[医药卫生—护理学]