经皮骨外固定针道护理管理的最佳证据总结  

Summary of best evidence for nursing management of percutaneous external bone fixation needle paths

作　　者：苏立苓 连晓杰[1] 李宝明 孙燕[2] Su Liling;Lian Xiaojie;Li Baoming;Sun Yan(Department of Hand and Foot and Ankle Surgery of the Second Hospital of Shandong University,Jinan 250000,China;Department of Spine Surgery of the Second Hospital of Shandong University,Jinan 250000,China)

机构地区：[1]山东大学第二医院手足外科,济南250000 [2]山东大学第二医院脊柱外科,济南250000

出　　处：《中国实用护理杂志》2024年第23期1809-1816,共8页Chinese Journal of Practical Nursing

摘　　要：目的:检索和评价经皮骨外固定针道护理管理的相关证据,并对证据进行整合,为临床针道护理提供最佳护理管理策略。方法:系统检索英国医学杂志最佳临床实践、UpToDate、PubMed、CINAHL、ProQuest、中国知网、万方等国内外相关数据库有关经皮骨外固定针道护理管理指南、证据总结、专家共识、系统评价、随机对照试验,检索时限为建库至2023年11月,对纳入的文献进行文献质量评价、证据提取、等级评定及证据汇总分析。结果:共纳入文献11篇,其中指南1篇,证据总结1篇,系统评价3篇,专家共识2篇,随机对照试验4篇。从针道评估、清洁管理、结痂管理、消毒管理、敷料管理5个方面,总结出10条关于经皮骨外固定针道护理管理的最佳证据。结论:本研究总结了有关经皮骨外固定针道护理管理的最佳证据,为临床护理人员行针道护理提供了一定的循证依据,在临床实践中应结合临床情境,综合相关因素有选择地合理应用证据,促进临床护理工作的提升和发展。Objective To search and evaluate the relevant evidence of percutaneous external fixation needle care management,and integrate the evidence to provide the best nursing management strategy for clinical needle care.MethodsBMJ best clinical practice,UpToDate,PubMed,CINAHL,ProQuest,CNKI,Wanfang database and other domestic and foreign databases related to clinical practice guidelines,evidence summary,expert consensus,systematic evaluation,randomized controlled trial were searched.The search period was from database inception to November 2023.Evaluated the quality of the included literatures,and conduct evidence extraction,level evaluation and evidence summary analysis.ResultsA total of 11 articles were included,including 1 guideline,1 evidence summary,3 systematic reviews,2 expert consensus,and 4 randomized controlled trials.The 10 pieces of best evidence were summarized in 5 categories,including needle evaluation,cleaning management,scab management,disinfection management,and dressing management.ConclusionsThis study summarized the best evidence on the management of percutaneous external fixation needle care,and provides evidence-based basis for clinical nurses to perform needle care.In clinical practice,evidence should be selectively and reasonably applied in combination with clinical situations and relevant factors to promote the improvement and development of clinical nursing work.

关 键 词：循证医学 护理 外固定器 针眼 证据总结 

分 类 号：R473.6[医药卫生—护理学]