儿童家庭机械通气管理的证据总结  

Evidence summary for the management of pediatric Home Mechanical Ventilation

作　　者：李墨 范玲[1] 贺琳晰[2] 王思琦 LI Mo;FAN Ling;HE Linxi;WANG Siqi(Nursing Department,Shengjing Hospital of China Medical University,Shenyang,110022,China)

机构地区：[1]中国医科大学附属盛京医院护理部,沈阳市110022 [2]中国医科大学附属盛京医院儿科重症监护室,沈阳市110022

出　　处：《中国护理管理》2024年第7期1076-1081,共6页Chinese Nursing Management

基　　金：2022年度辽宁省普通高等教育本科教学改革研究项目(2022485)。

摘　　要：目的:检索、评价并总结儿童家庭机械通气管理的证据,对需要家庭机械通气的儿童提供标准化的评估和管理证据。方法:基于PIPOST模式确定循证问题,按照“6S”模型对国内外相关学会、指南、数据库网站进行文献检索,检索时限为建库至2023年8月。对文献质量进行评价,并提取相关证据。结果:共纳入11篇文献,其中指南4篇、专家共识2篇、系统评价1篇、队列研究2篇以及类实验性研究2篇。从儿童家庭机械通气管理的前期准备、照顾者培训、设备与安全、家庭护理技术、随访监测以及长期发展6个方面共形成28条证据。结论:儿童由医院过渡到家庭是一个烦琐、复杂的过程,临床应该制定个体化的出院计划以及后续随访计划,以提高儿童及其家庭的生活质量,尽可能地延长儿童生命。Objective:To retrieve,evaluate and summarize the evidence on Home Mechanical Ventilation(HMV)for children,and to provide standardized assessment and management evidence for children in need of HMV.Methods:The evidence-based questions were identified based on the PIPOST model,and the literature was retrieved according to the"6S"model from inception to August 2023.Professional evidence-based nurses evaluated the quality of the literature and extracted relevant evidence.Results:A total of 11 articles were included,including 4 guidelines,2 expert consensuses,1 systematic review,2 cohort studies and 2 quasi-experimental studies.A total of 28 pieces of evidence were formed from six aspects:preliminary preparation for discharge,caregiver training,equipment and safety,home care technology,follow-up monitoring,and long-term development.Conclusion:The transition of children in need of mechanical ventilation from hospital to home is a cumbersome and complex process,and individualized discharge plans and follow-up plans should be formulated to improve the quality of life of children and their families,and prolong children's life as much as possible.

关 键 词：儿童 家庭机械通气 长期机械通气 家庭 循证护理学 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]