预防肾造瘘管留置患者尿源性脓毒血症的证据总结  

Summary of evidence for prevention of urinary sepsis in patients with nephrostomy tubes

作　　者：邱小英 全宏梅[1] QIU Xiaoying;QUAN Hongmei(the Second Department of Oncology,Hunan Provincial People′s Hospital/the First Affiliated Hospital of Hunan Normal University,Changsha,Hunan,410005)

机构地区：[1]湖南省人民医院/湖南师范大学附属第一医院肿瘤二科,湖南长沙410005

出　　处：《实用临床医药杂志》2024年第10期63-67,72,共6页Journal of Clinical Medicine in Practice

基　　金：湖南省卫生健康委员会一般资助课题(202114012086)。

摘　　要：目的检索、评价和整合预防肾造瘘管留置患者尿源性脓毒血症的证据。方法按照“6S”证据金字塔模型检索相关文献,检索时间为建库至2023年8月。由2名小组成员独立对各类文献进行质量评价。对符合标准的文献进行资料提取,并对各项证据进行分级。结果最终纳入文献11篇,包括证据总结1篇、指南4篇、系统评价2篇、专家共识4篇,共总结了18条预防肾造瘘管留置患者尿源性脓毒血症的证据,包括留置时机评估、肾造瘘管选择、留置时间、并发症预防及护理和拔管时机共5个主题。结论本研究总结了预防肾造瘘管留置患者尿源性脓毒血症的证据,可为临床医护人员提供相关护理循证依据,并为科学护理肾造瘘管提供参考。Objective To retrieve,evaluate and integrate evidences for the prevention of urinary sepsis in patients with nephrostomy tube indwelling.Methods Relevant literatures were searched according to the"6S"evidence-based pyramid model,and the retrieval time was from the establishment of the database to August 2023.Two team members independently evaluated the quality of various literatures.The data extraction was performed for the literatures meeting the criteria,and the evidences were graded.Results A total of 11 articles were finally included,including 1 evidence summary,4 guidelines,2 systematic reviews,and 4 expert consensuses.Eighteen evidences for the prevention of urosepsis in patients with nephrostomy tubes were summarized,including five topics:evaluation of indwelling time,selection of nephrostomy tubes,indwelling duration,prevention and nursing of complications and extubation timing.Conclusion This study summarizes evidences for the prevention of urosepsis in patients with nephrostomy tubes,which can provide clinicians with evidence-based nursing basis and reference for scientific nursing of nephrostomy tubes.

关 键 词：经皮肾镜碎石术 肾造瘘管 尿源性脓毒血症 经皮肾造瘘 证据总结 

分 类 号：R692.4[医药卫生—泌尿科学] R61[医药卫生—外科学] R473[医药卫生—临床医学]