闭合性骨折患者针道感染预防护理的最佳证据总结  

Best evidence summary of prevention and nursing of pin site infection in patients with closed fracture

作　　者：何果 袁飞骏 孙丽 He Guo;Yuan Feijun;Sun Li(Orthopedics Department,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院骨科,湖北武汉430022 [2]华中科技大学同济医学院附属协和医院护理部

出　　处：《护理学杂志》2024年第14期41-45,共5页Journal of Nursing Science

摘　　要：目的总结闭合性骨折外固定架固定术针道感染预防护理的相关证据,为临床护理人员实施针道护理提供可靠循证依据。方法检索PubMed、Medline、Embase和Cochrane Library数据库以及中国知网、万方数据、普维网中关于闭合性骨折患者针道感染预防护理的文献,检索时限为2010年1月至2024年1月。结果共纳入14篇文献,其中指南2篇、系统评价8篇、随机对照试验4篇。汇总包括环境、消毒剂、敷料选择、消毒手法、消毒频率、体位摆放、健康教育7个方面21条证据。结论总结的闭合性骨折患者外固定架针道感染预防护理的证据内容全面,临床护理人员应根据患者实际情况,推动针道护理的循证证据向临床实践转化,降低闭合性骨折外固定架固定术后患者发生针道感染的概率。Objective To summarize the relevant evidence of prevention and nursing measures for pin site infection in closed fracture patients undergoing external fixation,so as to provide reliable evidence for clinical nurses implementing pin site care.Methods The PubMed,Medline,Embase,Cochrane Library databases,and CNKI,Wanfang Data,and VIP were searched for literature on prevention and nursing of pin site infection in patients with closed fractures.The publication of the literature was from January,2010 to January,2024.Results A total of 14 articles were included,consisting of 2 guidelines,8 systematic reviews and 4 randomized controlled trials.Totally 21 pieces of evidence were summarized and factored into 7 aspects:environment,disinfectant,dressing selection,disinfection techniques,disinfection frequency,position placement,and health education.Conclusion The summarized evidence on prevention and nursing of pin site infection in closed fracture patients undergoing external fixation is comprehensive.Clinical nursing staff should promote the transformation of the evidence on pin site care to clinical practice according to the actual situation of patients,so as to reduce pin site infectionrate in closed fracture patients undergoing external fixation.

关 键 词：闭合性骨折 外固定 针道护理 针道感染 感染预防 证据总结 循证护理 

分 类 号：R473.6[医药卫生—护理学]