成人吸入性损伤肺康复管理最佳证据总结  

Summary of the best evidence for pulmonary rehabilitation management in adults with inhalation injury

作　　者：王蓉[1] 郭晓娟[1,2] 陈虹 徐刚[1] 周杰 袁良才[1] 练翠翠[1] 左亚南 WANG Rong;GUO Xiaojuan;CHEN Hong;XU Gang;ZHOU Jie;YUAN Liangcai;LIAN Cuicui;ZUO Ya'nan(Subei People's Hospital of Jiangsu Province,Yangzhou 225000,Jiangsu,China;School of Nursing,Yangzhou University,Yangzhou 225000,Jiangsu,China)

机构地区：[1]江苏省苏北人民医院,江苏扬州225000 [2]扬州大学护理学院,江苏扬州225000

出　　处：《护士进修杂志》2024年第14期1518-1523,共6页Journal of Nurses Training

基　　金：江苏省苏北人民医院院级科研基金项目(编号:SBKY21053);扬州市科协软科学研究课题(编号:2022157);江苏省人兽共患病学重点实验室护馨基金项目(编号:HX2208)。

摘　　要：目的检索、评价及汇总成人吸入性损伤肺康复相关证据。方法计算机检索BMJ Best Practice、UpToDate临床顾问、JBI图书馆、Cochrane图书馆、国际烧伤协会、欧洲烧伤协会、美国烧伤协会、日本皮肤病学协会、中国知网、万方数据库、中国生物医学数据库等网站中关于成人吸入性损伤相关的临床实践指南、专家共识、证据总结、系统评价及随机对照试验,检索时限为建库至2022年12月31日。进行文献质量评价后,根据主题对证据进行提取与汇总。结果根据纳入标准筛选出证据16篇,包括临床实践指南7篇、专家共识5篇、系统评价3篇、随机对照试验1篇。通过阅读、提取和归类,总结了对证据进行梳理,最终形成肺康复评估、肺康复模式、肺康复时机、肺康复时长、肺康复地点、肺康复方式、肺康复营养支持及效果评价8个维度,20条证据。结论本研究基于总结多个国家及地域成人吸入性损伤的肺康复管理证据,供医护人员根据临床实际情况选择证据进行干预。Objective To retrieve,evaluate,and summarize the evidence relating to pulmonary rehabilitation for inhalation injuries in adults.Methods Computerized searches of BMJ Best Practice,UpToDate Clinical Advisor,JBI Library,Cochrane Library,International Burn Association,European Burn Association,American Burn Association,Japanese Association of Dermatology,China Knowledge Network,Wanfang Database,China Biomedical Database,and other websites for clinical practice guidelines,expert consensus,evidence summaries,systematic evaluations,and randomized controlled trials related to inhalation injuries in adults,and the search time was from the establishment of the database to December 31,2022.After performing literature quality assessment,the evidence was extracted and summarized according to themes.Results A total of 16 pieces of evidence were screened according to the inclusion criteria,including 7 clinical practice guidelines,5 expert consensus,3 systematic evaluations,and 1 randomized controlled trial.The evidence was summarized by reading,extracting,and categorizing the evidence,resulting in 20 pieces of evidences in 8 dimensions of pulmonary rehabilitation assessment,pulmonary rehabilitation modality,timing of pulmonary rehabilitation,duration of pulmonary rehabilitation,location of pulmonary rehabilitation,modality of pulmonary rehabilitation,nutritional support for pulmonary rehabilitation and evaluation of outcomes.Conclusion This study is based on summarizing the evidence on pulmonary rehabilitation management of inhalation injury in adults from multiple countries and geographic regions,which can be used to interfere with the selection of evidence for healthcare professionals according to the clinical actual situation.

关 键 词：吸入性损伤 成人 肺康复 证据总结 循证护理 

分 类 号：R473.59[医药卫生—护理学]