危重症患儿早期活动的最佳证据总结  

Summary of the best evidence for early mobilization of critically ill children

作　　者：张春旭[1] 姚文英[2] 王新[2] 张芳[2] 张一格 杨博 Zhang Chunxu;Yao Wenying;Wang Xin;Zhang Fang;Zhang Yige;Yang Bo(Department of Critical Care Medicine,Children′s Hospital of Soochow University,Suzhou 215025,China)

机构地区：[1]苏州大学附属儿童医院PICU,江苏苏州215025 [2]苏州大学附属儿童医院护理部,江苏苏州215025 [3]苏州大学附属儿童医院CCU,江苏苏州215025

出　　处：《护理学杂志》2024年第16期42-46,共5页Journal of Nursing Science

摘　　要：目的对危重症患儿早期活动的最佳证据进行整理总结,为临床制定相关干预策略提供参考。方法通过检索加拿大安大略省注册护士协会网(RNAO)、英国国家卫生与临床优化研究所(NICE)、苏格兰学院间指南网络(SIGN)、Web of Science、Cochrane Library、PubMed、Best Practice(BMJ)、UpToDate、中国生物医学文献服务系统、万方数据知识服务平台、中国知网等数据库中危重症患儿早期活动的相关文献,检索时限为建库至2023年8月14日,按照JBI循证卫生保健中心的相应评价标准进行质量评价,对纳入的文献进行证据提取。结果最终纳入文献10篇,提取内容包括团队、评估、绝对禁忌、相对禁忌、运动状况监测和活动内容6个维度共20条最佳证据。结论提取的危重症患儿早期活动的最佳证据可作为重症患儿早期活动的循证依据。Objective To summarize the best evidence of early mobilization of critically ill children,and to provide references for clinical staff to formulate related intervention strategies.Methods Relevant literature on early activity in critically ill children was retrieved from databases such as the Registered Nurses′Association of Ontario(RNAO),the National Institute for Health and Care Excellence(NICE),the Scottish Intercollegiate Guidelines Network(SIGN),Web of Science,Cochrane Library,PubMed,Best Practice(BMJ),UpToDate,SinoMed,Wanfang Data,and China National Knowledge Infrastructure(CNKI),up until August 14,2023.Quality assessment was conducted according to JBI criteria,with evidence extraction being performed on the included publications.Results A total of 10 publications were eligible,and 20 pieces of best evidence were extracted and factored into 6 dimensions:team,assessment,absolute contraindications,relative contrain dications,exercise monitoring and activity contents.Conclusion The best evidence on early mobilization of critically ill children serves as an evidence-based basis for clinical staff to implement early mobilization and rehabilitation for critically ill children.

关 键 词：患儿 危重症 ICU 获得性衰弱 肌力减退 早期活动 早期康复 最佳证据 

分 类 号：R473.72[医药卫生—护理学]