慢性阻塞性肺疾病患者居家无创通气管理的最佳证据总结  

Evidence summary for home non-invasive ventilation management in patients with chronic obstructive pulmonary disease

作　　者：乔文博 褚君卿 林燕[1] 周飞飞 任雅钰 张帅 项新月 高春华[3] Qiao Wenbo;Chu Junqing;Lin Yan;Zhou Feifei;Ren Yayu;Zhang Shuai;Xiang Xinyue;Gao Chunhua(Department of Intensive Care Unit,the First Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310003,Zhejiang,China;Department of Emergency Intensive Care Unit,the First Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310003,Zhejiang,China;Department of Nursing,the First Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310003,Zhejiang,China)

机构地区：[1]浙江大学医学院附属第一医院综合监护室,浙江杭州310003 [2]浙江大学医学院附属第一医院急诊监护室,浙江杭州310003 [3]浙江大学医学院附属第一医院护理部,浙江杭州310003

出　　处：《加速康复外科杂志》2025年第1期15-21,共7页JOURNAL OF ENHANCED RECOVERY AFTER SURGERY

摘　　要：目的:检索、评价慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者居家无创通气管理的相关文献,总结最佳证据,为促进COPD患者呼吸康复管理、提升康复质量提供参考。方法:计算机检索UpToDate、Cochrane library、乔安娜布里格斯研究所(Joanna Briggs Institute,JBI)循证卫生保健中心数据库、Web of Science、CINAHL、Ovid、Embase、PsycINFO、PubMed、中国知网、万方数据库、维普数据库、COPD全球倡议网站、美国国立指南库等数据库及相关指南网。纳入文献包括指南、系统评价、专家共识、证据总结。检索时限为2010年1月1日至2024年12月31日。结果:共纳入11篇文献,其中指南9篇、系统评价2篇,从目的与意义、启动条件与时机、禁忌证、治疗目标、安全性、评估与措施、效果评价、健康教育与支持、伦理问题共9方面形成31条最佳证据。结论:本研究总结了COPD患者居家无创通气管理的最佳证据,可为医护人员制定科学的居家呼吸康复管理策略提供循证依据。Objective:To search and evaluate the literature on home non-invasive ventilation management for COPD patients,to provide a reference for promoting respiratory rehabilitation management.Method:Literature related to home non-invasive ventilation management of COPD patients was searched from UpToDate,Cochrane library,JBI,Web of Science,CINAHL,Ovid,Embase,PsycINFO,PubMed,CNKI,VIP,Wanfang database,and professional association website,including guidelines,systematic review,expert consensus,and evidence summary.The search period is from January 1,2010 to Dec 31,2024.Result:A total of 11 kinds of literature were included,including 9 guidelines and 2 systematic reviews.31 best evidence were obtained from 9 aspects,including purpose and significance,the starting conditions and timing,contraindications,treatment objectives,safety,evaluation and measures,effect evaluation,health education and support,and ethical issues.Conclusion:This study summarized the best evidence of home non-invasive ventilation management for patients with COPD,and provided an evidence-based basis for medical staff to develop scientific management strategies for respiratory rehabilitation at home.

关 键 词：慢性阻塞性肺疾病 居家护理 无创通气 循证护理 呼吸康复管理 

分 类 号：R473.5[医药卫生—护理学]