NICU新生儿呼吸机相关性肺炎预防及管理的证据总结  

Evidence summary for prevention and management of Ventilator-Associated Pneumonia in neonates in NICU

作　　者：王姿璎 郭亚如 纪涵 郭迎坤 褚梁梁[4] 乔建红[5] WANG Ziying;GUO Yaru;JI Han;GUO Yingkun;CHU Liangliang;QIAO Jianhong(School of Nursing,Shandong Second Medical University,Weifang,Shandong province,261053,China)

机构地区：[1]山东第二医科大学护理学院,山东省潍坊市261053 [2]山东第一医科大学(山东省医学科学院)护理学院 [3]山东大学护理与康复学院 [4]山东第一医科大学第一附属医院(山东省千佛山医院)产科 [5]山东第一医科大学第一附属医院(山东省千佛山医院)门诊部

出　　处：《中国护理管理》2024年第10期1492-1497,共6页Chinese Nursing Management

基　　金：山东省护理学会科研课题(SDHLKTQ202201)。

摘　　要：目的 :检索、评价并汇总新生儿重症监护室(NICU)患儿呼吸机相关性肺炎(VAP)预防及管理的相关证据,为临床实践提供参考。方法 :系统检索国内外数据库、指南网、相关学会网站中关于新生儿VAP预防及管理的证据,检索时限为2013年1月至2023年8月。由研究者独立进行文献质量评价、证据提取及汇总。结果:共纳入14篇文献,分别从危险因素识别、口腔护理、气道内吸引、床头抬高、呼吸机管理、药物使用、整体护理等方面,总结了23条证据。结论 :该研究总结的证据全面、严谨、实用,医护人员可遵循证据为NICU机械通气新生儿提供VAP预防及管理策略,进而减少VAP的发生。Objective:To search,evaluate and summarize the relevant evidence on the prevention and management of Ventilators Associated Pneumonia(VAP)in children in Neonatal Intensive Care Unit(NICU),and to provide implications for clinical practice.Methods:Evidence on neonatal VAP prevention and management was systematically searched from Chinese and English databases,guideline websites and related association websites.Searching was from January 2013 to August 2023.Literature quality evaluation,evidence extraction and summary were performed independently by researchers.Results:A total of 14 articles were included,consisting of 23 pieces of evidence.The evidence were summarized in risk factor identification,oral care,endotracheal suction,head elevation,ventilator management,medication use,holistic care.Conclusion:The evidence summarized in this study is comprehensive and practical,allowing healthcare professionals to follow the evidence to provide prevention and management strategies for VAP in neonates receiving mechanical ventilation in NICU,thereby reducing the occurrence of VAP.

关 键 词：新生儿 呼吸机相关性肺炎 预防 证据总结 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]