成人急性呼吸道传染病患者俯卧位通气管理的最佳证据总结  

Summary of Best Evidence for Prone Ventilation Management in Adult Patients with Acute Respiratory Infectious Diseases

作　　者：沈蕾[1] 柴玲 孙美艳 董宁[1] 张思婷[2] 廖新威 郭成桦 孙文秀 张林[1] SHEN Lei;CHAI Ling;SUN Meiyan(Shanghai Public Health Clinical Center,Shanghai,201508,China;不详)

机构地区：[1]上海市公共卫生临床中心,上海201508 [2]复旦大学护理学院,上海200032

出　　处：《中国卫生质量管理》2024年第6期37-43,共7页Chinese Health Quality Management

基　　金：上海市卫生健康委员会科研课题项目(编号:202240298)。

摘　　要：目的检索、评价、提取并汇总成人急性呼吸道传染病患者俯卧位通气管理的最佳证据,为俯卧位通气规范化治疗提供循证依据。方法根据“6S”证据模型,系统检索各指南网站及中英文数据库相关文献,由研究人员对纳入文献进行质量评价、证据提取与汇总。结果共纳入11篇文献,包括3篇临床决策、5篇指南、1篇证据总结、2篇专家共识。最终形成包括人员准备、院感防控、护理评估、实施要点、风险管理、健康教育和特殊人群照护等7个方面共48条的最佳证据。结论在证据应用过程中医护人员应基于具体临床情境,制订个体化俯卧位通气治疗方案,以改善患者临床结局。Objective To search,evaluate,extract and summarize the best evidence of prone ventilation management in adult patients with acute respiratory infectious diseases,and provide evidence-based basis for the standardized treatment of prone ventilation.Methods According to the"6S"evidence model,the related literatures were systematically searched from guideline websites and Chinese and English databases.The quality evaluation,evidence extraction and summary of the included literatures were carried out by researchers.Results A total of 11 literatures were included,including 3 clinical decision-making literatures,5 guidelines,1 evidence summary,and 2 expert consensus.48 best pieces of evidence were summarized,including 7 aspects:personnel preparation,infection control,nursing evaluation,implementation points,risk management,health education,and special population care.Conclusion In the process of evidence application,medical staff should formulate an individualized prone position ventilation treatment plan based on the specific clinical situation to improve the clinical outcome of patients.

关 键 词：急性呼吸道传染病 成人 俯卧位通气 呼吸治疗 循证护理 

分 类 号：R197.323[医药卫生—卫生事业管理]