医院神经科普通病房患者误吸防治与管理的最佳证据总结  

Evidence Summary for Prevention and Management of Pulmonary Aspiration in Neurological General Ward

作　　者：高学莉 牛意柔 任志方 王艳玲[1] 肖倩[1] Gao Xueli;Niu Yirou;Ren Zhifang;Wang Yanling;Xiao Qian(School of Nursing,Capital Medical University,Beijing,100069,China)

机构地区：[1]首都医科大学护理学院,北京100069

出　　处：《中国初级卫生保健》2024年第10期93-97,共5页Chinese Primary Health Care

基　　金：国家自然科学基金项目(72174130)。

摘　　要：目的:总结医院神经科普通病房误吸防治与管理的最佳证据,为临床护理工作提供循证依据。方法:系统检索中英文数据库中的相关证据,由2名研究者对文献进行筛选、质量评价、相关证据提取。结果:共纳入24篇文献,形成包括管理模式、危险因素、筛查和评估、经口进食管理、肠内营养管理、口腔卫生管理、用药管理、康复训练、误吸后处理9个方面36条最佳证据。结论:采用多学科管理模式、集束化护理措施可降低误吸和吸入性肺炎风险,同时加强患者、陪护人员的健康教育与培训也至关重要。OBJECTIVE To summarize the best evidence for prevention and management of pulmonary aspiration in neurological general ward and to provide evidence for clinical nursing work.METHODS Relevant evidence was searched in Chinese and English databases,and literature screening,quality assessment,relevant evidence extraction was done by two researchers.RESULTS Totally 24 literatures were included.36 pieces of best evidence were extracted in 9 areas:management model,risk factors,screening and as⁃sessment,management of oral feeding,enteral nutrition,oral hygiene,medication,post-aspiration,rehabilitation train.CONCLUSION The use of a multidisciplinary management model and care bundle can reduce the risk of pulmonary aspiration and aspiration pneu⁃monia,and it is also crucial to strengthen the health education and training of patients and accompanying staff.

关 键 词：医院 神经科 误吸 防治 证据总结 

分 类 号：R473.6[医药卫生—护理学]