ICU经口气管插管患者口腔黏膜压力性损伤预防的最佳证据总结  

Prevention of oral mucosal pressure injury in ICU patients with oral endotracheal intubation:evidence summary

作　　者：杨鑫晨 张超[1] 李星茹 邓玉璐 谢文广 刘晓玉[2] 舒越 刘诗琳 黄姝湲 Yang Xinchen;Zhang Chao;Li Xingru;Deng Yulu;Xie Wenguang;Liu Xiaoyu;Shu Yue;Liu Shilin;Huang Shuyuan(Nursing Department,the Second Affiliated Hospital,Jiangxi Medical College,Nanchang University,Nanchang 330006,China)

机构地区：[1]南昌大学江西医学院第二附属医院护理部,江西南昌330006 [2]南昌大学江西医学院护理学院 [3]皖南医学院第一附属医院神经外科 [4]井冈山大学护理学院

出　　处：《护理学杂志》2024年第18期57-61,共5页Journal of Nursing Science

基　　金：2021年江西省教育厅科学技术研究项目(GJ210190);2021年江西省中医药管理局科技计划项目(2021B151)。

摘　　要：目的评价并总结ICU经口气管插管患者口腔黏膜压力性损伤预防的最佳证据,为临床护理实践提供循证依据。方法按照“6S”证据模型,系统检索国内外循证资源数据库、综合数据库及相关协会网站中有关ICU经口气管插管患者口腔黏膜压力性损伤预防的相关文献。由2名经过循证培训的研究者对文献进行质量评价,并结合临床情景提取和汇总证据。结果共纳入14篇文献,其中临床决策1篇、推荐实践1篇、指南3篇、专家共识4篇、系统评价2篇、团体标准1篇、证据总结2篇。最终从评估、器械设备的选择、预防措施、多学科团队、培训教育5个方面形成25条最佳证据。结论总结的ICU经口气管插管患者口腔黏膜压力性损伤预防的最佳证据可为临床护理实践提供循证依据。建议医护人员依据临床实际情景采纳证据,降低ICU经口气管插管患者口腔黏膜压力性损伤发生率。Objective To evaluate and summarize the best evidence on prevention of Oral Mucosal Pressure Injury(OMPI)in ICU patients with oral endotracheal intubation,and to provide evidence for clinical nursing practice.Methods According to the"6S"evidence model,literature on prevention of OMPI in ICU patients with oral endotracheal intubation was systematically searched from domestic and foreign evidence-based resource databases,comprehensive databases and related association websites.The quality of the literature was evaluated by two researchers after evidence-based training,and the evidence was extracted and summarized in combination with clinical context.Results A total of 14 literatures were included,comprising 1 clinical decision,1 recommended practice,3 guidelines,4 expert consensus reports,2 systematic reviews,1 group standard,and 2 evidence summaries.Finally,25 pieces of best evidence were summarized and categorized into five aspects:assessment,equipment selection,preventive measures,multidisciplinary teams,training and education.Conclusion The best evidence on prevention of OMPI in ICU patients with oral endotracheal intubation can provide evidence-based evidence for clinical nursing practice,and it is recommended that medical staff should adopt the evidence according to the actual clinical context to reduce the incidence of OMPI in this population.

关 键 词：重症监护室 经口气管插管 机械通气 口腔黏膜 压力性损伤 预防 证据总结 循证护理 

分 类 号：R472[医药卫生—护理学]