手术室器械相关压力性损伤预防的最佳证据总结  

Summary of the best evidence on the prevention of device-related pressure injuries in the operating room

作　　者：李贝 陈红[1] 袁丁 张春瑾 洪博洋 Li Bei;Chen Hong;Yuan Ding;Zhang Chunjin;Hong Boyang(Operating Room,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院手术室,湖北武汉430030 [2]华中科技大学同济医学院护理学院 [3]华中科技大学同济医学院附属同济医院麻醉科,湖北武汉430030

出　　处：《护理学杂志》2024年第13期56-60,共5页Journal of Nursing Science

基　　金：华中科技大学同济医学院附属同济医院科研基金护理专项(2023C01);中央高校基本科研业务费专项资金资助项目(YCJJ20230243)。

摘　　要：目的检索、评价并整合手术患者器械相关压力性损伤预防的相关证据,为临床实践提供参考。方法系统检索国内外计算机决策支持系统、指南网、压力性损伤专业学术网站以及综合数据库中关于预防手术患者器械相关压力性损伤的相关文献,文献类型包括临床决策、指南、专家共识、证据总结、系统评价、Meta分析、随机对照试验。检索时限为建库至2023年10月。循证团队对文献进行方法学质量评价,并根据主题对证据进行提取与汇总。结果共纳入10篇文献,其中指南3篇、专家共识4篇、系统评价2篇、随机对照试验1篇。从风险评估、器械的选择和使用、预防策略、术后交接与记录、教育与培训5个方面总结出23条最佳证据。结论整合的手术患者器械相关压力性损伤预防最佳证据为医护人员提供了循证依据,但证据使用者应基于前期充分的风险评估,结合手术室具体情境调整预防策略,以降低器械相关压力性损伤发生率。Objective To retrieve,evaluate,and integrate the relevant evidence on the prevention of device-related pressure injuries in surgical patients to provide reference for clinical practice.Methods We systematically searched the domestic and foreign computer decision support systems,websites of guidelines,academic websites specializing in pressure injuries,and comprehensive databases for relevant literature on the prevention of device-related pressure injuries in surgical patients,with the types of literature including clinical decision-making,guidelines,expert consensus,evidence summaries,systematic evaluations,meta-analyses,and rando-mized controlled trials.The retrieval period was from the establishment of databases to October 2023.The evidence-based team evaluated the quality of the literature,and extracted and summarized the evidence according to themes.Results A total of 10 articles were included,including 3 guidelines,4 expert consensus reports,2 systematic reviews and 1 randomized controlled trial.A total of 23 pieces of best evidence were summarized in five areas:risk assessment,selection and use of device,prevention strategies,postoperative handover and documentation,and education and training.Conclusion This study systematically integrated the relevant evidence for the prevention of device-related pressure injuries in surgical patients,and users of the evidence should adjust prevention strategies based on adequate risk assessment in the preoperative period and in the context of specific operating room situations to reduce the incidence of device-related pressure injuries.

关 键 词：手术室 器械相关压力性损伤 预防 体位 敷料 风险评估 证据总结 循证护理 

分 类 号：R472.3[医药卫生—护理学]