新生儿术中获得性压力性损伤预防和护理的最佳证据总结  

Evidence summary for the prevention and nursing of neonatal intraoperative acquired pressure injury

作　　者：张盼盼[1] 田莹莹 陶伏莹 崔晓花[1] 石秦川 朱珠[2] ZHANG Panpan;TIAN Yingying;TAO Fuying;CUI Xiaohua;SHI Qinchuan;ZHU Zhu

机构地区：[1]南京医科大学附属妇产医院(南京市妇幼保健院)麻醉科,南京市210000 [2]南京医科大学附属妇产医院(南京市妇幼保健院)护理部,南京市210000 [3]南京医科大学附属妇产医院(南京市妇幼保健院)手术室,南京市210000 [4]南京医科大学附属妇产医院(南京市妇幼保健院)新生儿科,南京市210000

出　　处：《中华护理杂志》2024年第10期1233-1241,共9页Chinese Journal of Nursing

基　　金：南京市卫生科技发展专项资金项目(YKK23157)。

摘　　要：目的检索、评价并整合国内外有关新生儿术中获得性压力性损伤预防和护理的证据,为护理实践提供依据。方法按照“6S”模型检索国内外临床决策系统、指南网、专业协会网站、数据库中有关新生儿术中获得性压力性损伤评估、预防及护理等证据,检索时限为建库至2023年8月2日。纳入文献经质量评价后,由2名研究者进行证据提取及整合。结果共纳入14篇文献,其中临床决策1篇、指南4篇、证据总结3篇、系统评价2篇、专家共识4篇。从危险因素、风险评估、预防措施、观察及处理措施、人员培训5个方面总结出31条证据。结论新生儿术中获得性压力性损伤的预防和护理需要多学科协同参与。证据转化时,医护人员应根据实际情况及临床情境,选择合适的预防和护理措施,以降低新生儿术中获得性压力性损伤的发生率,保障新生儿围手术期护理安全。Objective To retrieve and integrate relevant evidence on the prevention and nursing of neonatal intraoperative acquired pressure and provide a reference basis for nursing practice.Methods According to the“6S”model retrieval strategy,we searched for published articles including the following topic words,such as prevention,assessment,management,and nursing care of neonatal intra-operative pressure injury from establishment of databases until August 2,2023.We got the related references from clinical decision-making websites,guidelines network,professional association websites,domestic and foreign databases.Results Totally 14 articles were included,including 1 clinical decision support,4 clinical guidelines,3 evidence summaries,2 systematic reviews and 4 expert consensuses.Finally,31 pieces of best evidence were summarized from 5 aspects of risk factors,risk assessment,observation and preventive measures,nursing measures after the occurrence of pressure injury,education and training.Conclusion Multidisciplinary collaborative participation based on the obtained evidence is an effective strategy,which can be applied to the prevention and nursing care of neonatal intraoperative acquired pressure injury.Appropriate preventive and nursing programs should be made according to the actual situation and clinical environment,so as to reduce the incidence of neonatal intraoperative acquired pressure injury and to ensure the safety of neonatal perioperative nursing care.

关 键 词：术中获得性压力性损伤 循证护理学 新生儿护理 围手术期护理 

分 类 号：R472.3[医药卫生—护理学]