成人腹膜透析患者管理的最佳证据总结  

Evidence summary about the management of adult patients with peritoneal dialysis

作　　者：曹培叶 赵慧萍[1] 武蓓[1] 芦丽霞[1] 楚新新 乔婕[1] 门春翠 何玉婷 CAO Pei-ye;ZHAO Hui-ping;WU Bei;LU Li-xia;CHU Xin-xin;QIAO Jie;MEN Chun-cui;HE Yu-ting(Department of Nephrology,Peking University People’s Hospital,Beijing 100044,China)

机构地区：[1]北京大学人民医院肾内科,北京100044

出　　处：《中国血液净化》2023年第7期551-556,共6页Chinese Journal of Blood Purification

摘　　要：目的检索、总结并整合评价成人腹膜透析患者管理的相关证据,为临床医护人员提供循证证据。方法检索加拿大安大略注册护士协会网站、英国国家卫生与临床优化研究所网站、苏格兰学院指南网、美国指南网、国际指南网、医脉通、BMJ最佳临床实践、UpToDate、Cochrane Library、乔安娜布里格斯研究所、PubMed、Embase、CINAHL、Web of Science、CNKI、万方数据库,同时补充检索英国肾脏协会和国际腹膜透析协会网站,检索时间为建库到2022年3月,收集有关成人腹膜透析患者管理的相关文献。采用采用澳大利亚JBI循证卫生保健中心对应的评价工具对纳入的文献进行质量评价和证据分级。结果共纳入文献11篇,包括4篇指南,2篇专家共识,2篇证据总结,3篇随机对照试验。从饮食营养管理、运动管理、容量管理、并发症预防与管理和延续性护理方式5个方面总结了24条证据。结论该研究总结了成人腹膜透析患者管理的最佳证据,具有一定的实用价值和科学性,可为临床医护人员全面掌握和管理腹膜透析治疗患者提供循证依据。Objective To search,summarize,integrate and evaluate the available evidences about the management of adult patients with peritoneal dialysis,so as to provide evidence-based references for clinical medical staff.Methods The websites of Registered Nurses’Association of Ontario,National Institute for Health and Care Excellence,Scottish Intercollegiate Guidelines Network,National Guideline Clearinghouse,NGC,Guidelines International Network,Medlive.cn,British Medical Journal Best-practice,UpToDate,Cochrane Library,Joanna Briggs Institute Library,PubMed,Embase,ciNAHL,Web of Science,CNKI and Wanfang database were searched by computer;the British Renal Association and the International Society for Peritoneal Dialysis websites were also searched in order to collect the literature on the management of adult patients with peritoneal dialysis.The retrieval period was from the establishment of database to March 2022.The JBI evidence appraisal and recommendation system was used to evaluate the quality and evidence level of the included literature.Results A total of 11 articles were included,including 4 guidelines,2 expert consensus,2 evidence summaries,and 3 randomized controlled trials.Twenty-four evidences were summarized from five aspects:diet and nutrition management,exercise management,capacity management,complication prevention and management,and continuous nursing.Conclusion This study summarizes the best evidences about the management of adult patients with peritoneal dialysis,which has practical and scientific values,and provides evidence-based references for clinical medical staff to comprehensively control and manage the patients with peritoneal dialysis.

关 键 词：成人 腹膜透析 管理 循证护理学 

分 类 号：R473[医药卫生—护理学]