植入左心室辅助装置患者经皮缆线伤口护理的证据总结  

Evidence summary for percutaneous cable wound care in patients with implanted Left Ventricular Assist Device

作　　者：肖兴米 彭林敏[1] 涂惠[1] 柳建 游明春[1] 曾志华 付仙兰 李腾龙 XIAO Xingmi;PENG Linmin;TU Hui;LIU Jian;YOU Mingchun;ZENG Zhihua;FU Xianlan;LI Tenglong(Carcardiac Vascular Surgical ICU,The Second Affiliated Hospital of Nanchang University,Nanchang,330006,China)

机构地区：[1]南昌大学第二附属医院心脏大血管外科ICU,南昌市330006

出　　处：《中国护理管理》2024年第12期1886-1891,共6页Chinese Nursing Management

基　　金：江西省卫生健康委科技计划(202410263);南昌大学第二附属医院院内资助项目(2023efyN21)。

摘　　要：目的:总结左心室辅助装置植入术后经皮缆线伤口护理的证据,为临床实践提供循证依据。方法:系统检索国内外数据库中关于左心室辅助装置植入术后经皮缆线伤口护理相关指南、系统评价、临床决策、专家共识、随机对照试验、证据总结及最佳实践,检索时限为数据库建立至2024年2月1日。根据主题分类进行证据汇总。结果:共纳入11篇文献,其中指南3篇、专家共识3篇、系统评价4篇、随机对照试验1篇。结合专家判断,汇总了20条证据,包括多学科团队协作、伤口评估、伤口维护、伤口感染预防及处理、教育培训5个方面。结论:该研究全面总结了左心室辅助装置植入术后患者经皮缆线伤口护理相关证据,为临床人员规范化进行经皮缆线伤口管理提供依据,建议临床人员根据临床情景,遵循个体化原则,在获取患者意愿的情况下进行证据转化。Objective:To summarize the evidence of percutaneous cable wound care after Left Ventricular Assist Device(LVAD)implantation in order to provide evidence-based basis for clinical practice.Methods:The related guidelines,systematic reviews,clinical decisions,expert consensus,randomized controlled trials,evidence summary,and best practices of percutaneous wound care after LVAD implantation were systematically searched in domestic and foreign databases.The search period was from the database establishment to February 1,2024.Evidence was aggregated by subject classification.Results:A total of 11 articles were included,including 3 guidelines,3 expert consensus,4 systematic reviews,and 1 randomized controlled trial.Combined with expert judgment,20 pieces of evidence were summarized,including 5 aspects:multidisciplinary teamwork,wound assessment,wound maintenance,wound infection prevention and treatment,and education and training.Conclusion:This study comprehensively summarizes the evidence of percutaneous cable wound care in patients after LVAD implantation,and provides a basis for clinical personnel to standardize percutaneous cable wound management.We suggest that clinical personnel should transform the evidence according to the clinical situation,following the individualization principles,and obtaining patients'wishes.

关 键 词：左心室辅助装置 经皮缆线 伤口护理 感染预防 教育培训 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]