新生儿静脉输液外渗损伤护理的最佳证据总结  

Summary of best evidence for the care of extravasation injury in neonatal intravenous infusions

作　　者：石秦川 朱珠[1] 陶伏莹 田莹莹[1] 刘蓓蓓[1] SHI Qinchuan;ZHU Zhu;TAO Fuying;TIAN Yingying;LIU Beibei(Nanjing Maternal and Child Health Hospital,Nanjing 210004,Jiangsu,China)

机构地区：[1]南京市妇幼保健院,江苏南京210004

出　　处：《护士进修杂志》2024年第10期1066-1071,共6页Journal of Nurses Training

基　　金：南京市卫生科技发展专项基金(编号:YKK21168);南京医科大学科技发展基金(编号:NMUB20210126)。

摘　　要：目的检索、评价和综合新生儿静脉输液外渗损伤护理的最佳证据。方法基于循证证据金字塔6S模型,系统检索计算机/临床决策支持系统、相关指南与专业协会网站及数据库中关于新生儿静脉输液外渗护理的证据,检索时限为建库至2023年6月30日。由2~4名研究人员依据文献类型采用相应的文献评价工具对纳入文献进行质量评价。结果共纳入9篇文献,包括指南2篇、专家共识1篇、临床决策2篇、最佳实践2篇和系统评价2篇。从伤口评估、紧急处理、药物干预、创面处理、敷料应用5个维度总结了17条最佳证据。结论该研究系统检索与总结了新生儿静脉输液外渗伤口护理的最佳证据,医护人员在临床应用时应充分考虑科室发展现状而选择性应用最佳证据,以促进新生儿静脉输液外渗伤口愈合。Objective To retrieve,evaluate,and synthesize the best evidence on the care of neonatal intravenous fluid extravasation injury.Methods Based on the 6S model of the evidence-based pyramid,evidence on neonatal intravenous infusion extravasation care was systematically searched in computerized/clinical decision support systems,relevant guideline and professional association websites and databases,with a time limit of search from database creation to June 30,2023.The quality of the included literature was evaluated by 2 researchers according to the type of literature using the appropriate literature evaluation tool.Results A total of 9 publications were included,including 2 guidelines,1 expert consensus,2 clinical decisions,2 best practices,and 2 systematic reviews.Seventeen best evidences were summarized in 5 dimensions:Wound assessment,emergency management,pharmacological treatment,wound management,and dressing application.Conclusion The best evidence of wound care for neonatal intravenous fluid extravasation in this study were systematically retrieved and summarized,and health care professionals should selectively apply the best evidence with full consideration of the current status of departmental development in clinical application to promote wound healing of neonatal intravenous fluid extravasation.

关 键 词：新生儿 静脉输液外渗 证据总结 护理 

分 类 号：R473.71[医药卫生—护理学]