儿童外周困难静脉置管最佳证据总结  

Best evidence summary for difficult peripheral intravenous catheterization in children

作　　者：叶茹明 黄湘晖 郑建珊 王文超 吴冠虹 刘玲[5] 张艺 李丹婷 叶秀玉[7] Ye Ruming;Huang Xianghui;Zheng Jianshan;Wang Wenchao;Wu Guanhong;Liu Ling;Zhang Yi;Li Danting;Ye Xiuyu(Department of Nursing,Xiamen Children's Hospital(Children's Hospital of Fudan University at Xiamen),Xiamen 361006,China;Key Laboratory of Neonatal Diseases of Fujian Province,Xiamen Children's Hospital(Children's Hospital of Fudan University at Xiamen),Xiamen 361006,China;Department of Gastroenterology Rheumatology and Immunology,Xiamen Children's Hospital(Children's Hospital of Fudan University at Xiamen),Xiamen 361006,China;Emergency Department,Children's Hospital of Fudan University,Shanghai 201100,China;Department of Neurology,Xiamen Children's Hospital(Children's Hospital of Fudan University at Xiamen),Xiamen 361006,China;Department of Infectious Diseases,Xiamen Children's Hospital(Children's Hospital of Fudan University at Xiamen),Xiamen 361006,China;Department of Pediatrics,Jinjiang Hospital,Quanzhou 362299,China)

机构地区：[1]厦门市儿童医院(复旦大学附属儿科医院厦门医院)护理部,厦门361006 [2]厦门市儿童医院(复旦大学附属儿科医院厦门医院)福建省新生儿疾病重点实验室,厦门361006 [3]厦门市儿童医院(复旦大学附属儿科医院厦门医院)消化风湿免疫科,厦门361006 [4]复旦大学附属儿科医院急诊科,上海201100 [5]厦门市儿童医院(复旦大学附属儿科医院厦门医院)神经内科,厦门361006 [6]厦门市儿童医院(复旦大学附属儿科医院厦门医院)感染科,厦门361006 [7]晋江市医院儿科,泉州362299

出　　处：《中华现代护理杂志》2024年第6期790-795,共6页Chinese Journal of Modern Nursing

基　　金：福建省卫生健康面向农村和城市社区推广适宜技术项目(2022TG027)。

摘　　要：目的:检索、评价并总结儿童外周困难静脉置管的最佳证据。方法:遵循"6S"证据金字塔模型,检索UpToDate、BMJ Best Practice、美国国立指南网、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、PubMed、医脉通、中国生物医学文献服务系统、中国知网、万方数据库等中英文数据库中与儿童外周困难静脉管理相关的文献,检索时间为建库至2023年1月。由2名经循证护理系统化培训的研究人员独立对纳入文献进行质量评价并提取相关证据。结果:共纳入5篇文献,其中2篇指南、2篇专家共识、1篇系统评价。从困难静脉质量管理、困难静脉评估、困难静脉置管部位和留置针型号选择、困难静脉置管辅助方法、困难静脉置管失败后5个方面总结出19条最佳证据。结论:本研究总结儿童外周困难静脉置管的最佳证据,具有临床护理实用性,可为儿科护理人员进行困难静脉置管提供循证依据。Objective To search,evaluate,and summarize the best evidence for difficult peripheral intravenous catheterization in children.Methods Following the"6S"evidence pyramid model,literature related to the management of difficult peripheral veins in children was searched in both English and Chinese databases including UpToDate,BMJ Best Practice,National Guidelines Clearinghouse,the Joanna Briggs Institute Evidence-Based Health Care Database,PubMed,Medlive,SinoMed,CNKI,and Wanfang Database.The search period was from the establishment of the database to January 2023.Two researchers trained in systematic evidence-based nursing,independently evaluated the quality of included literature and extracted relevant evidence.Results Five articles were included:two guidelines,two expert consensuses,and one systematic review.19 best evidence were summarized,covering five aspects:difficult vein quality management,difficult vein assessment,difficult intravenous catheterization site and needle type selection,difficult intravenous catheterization auxiliary methods,and handling of failed difficult intravenous catheterization.Conclusions This study summarizes the best evidence for difficult peripheral intravenous catheterization in children,demonstrating clinical nursing practicality.It provides evidence-based guidance for pediatric nursing staff performing difficult intravenous catheterization.

关 键 词：儿童 外周静脉导管 困难静脉 静脉穿刺困难 循证护理 

分 类 号：R473.72[医药卫生—护理学]