儿童中心静脉导管敷贴维护的证据总结  

Evidence summary for the maintenance of the dressing of Central Venous Catheter in children

作　　者：夏倩 杨玉霞[2] 顾莺 傅唯佳 王雨晴 XIA Qian;YANG Yuxia;GU Ying;FU Weijia;WANG Yuqing(Cardiothoracic Surgery Unit,Children's Hospital of Fudan University,Shanghai,201102,China)

机构地区：[1]复旦大学附属儿科医院心胸外科,上海市201102 [2]复旦大学附属儿科医院儿科重症监护病房,上海市201102 [3]复旦大学附属儿科医院护理部,上海市201102

出　　处：《中国护理管理》2023年第12期1825-1829,共5页Chinese Nursing Management

基　　金：2022年度市级医院诊疗技术推广及优化管理项目(原临床科技创新项目)(SHDC22022221);复旦大学护理学院护理科研基金(FNEF202110);2021年上海市医苑新星青年医学人才培养资助计划(沪卫人事[2022]65号)。

摘　　要：目的:评价和总结儿童中心静脉导管敷贴维护的相关证据,为临床实践提供参考。方法:系统检索国内外儿童中心静脉导管敷贴维护的相关文献,并对纳入文献进行质量评价和资料提取,并结合专业人员的判断,进行证据汇总。结果:共纳入7篇文献,其中2篇指南、2篇证据总结、1篇推荐实践、1篇系统评价、1篇专家共识,从儿童中心静脉导管敷贴选择、固定和更换3个方面汇总18条证据。结论:儿童中心静脉导管敷贴维护的证据汇总可为提高临床中心静脉导管敷贴维护的规范性实践提供循证依据,以降低儿童中心静脉导管并发症的发生,提高临床护理质量。Objective:To evaluate and summarize the relevant evidence related to the maintenance of the dressing of Central Venous Catheter in children and provide reference for clinical practice.Methods:We systematically searched domestic and foreign guide websites,professional associations,and databases for evidence related to the maintenance of the dressing of Central Venous Catheter in children.The quality evaluation and data extraction of the included literature were carried out independently by four researchers,and the evidence was summarized according to the judgment of professionals.Results:A total of 7 literatures were included,including 2 guidelines,2 evidence summaries,1 recommended practice,1 systematic review,and 1 expert consensus.Totally 18 pieces of evidence were collected from three aspects:selection,fixation and replacement of the dressing of Central Venous Catheter in children.Conclusion:The evidence summary for the maintenance of the dressing of Central Venous Catheter in children can provide evidence-based basis for improving the standardization of the dressing of Central Venous Catheter application,so as to reduce the occurrence of complications of Central Venous Catheter in children.

关 键 词：中心静脉导管 敷贴 证据总结 循证护理 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]