基于最佳证据的成人初置管腹膜透析手术前评估单制作  

Preparation of a preoperative assessment sheet for first placement of peritoneal dialysis catheter in adults based on best evidence

作　　者：张瑛 施学芝 白友为 程小敏 吴丹 张香如 ZHANG Ying;SHI-Xue-zhi;BAI You-wei;CHENG Xiao-min;WU Dan;ZHANG Xiang-ru(Department of Nephrology,Lu’an People’s Hospital Affiliated to Anhui Medical University,Lu’an 237000,China;Department of Nursing Administration,Lu’an People’s Hospital Affiliated to Anhui Medical University,Lu’an 237000,China)

机构地区：[1]安徽医科大学附属六安医院肾内科,六安237000 [2]安徽医科大学附属六安医院护理部,六安237000

出　　处：《中国血液净化》2025年第4期343-347,共5页Chinese Journal of Blood Purification

基　　金：安徽省教育厅重大课题(2022AH040095)。

摘　　要：目的评价并总结腹膜透析患者置管前评估的相关证据,制作手术前评估单,为临床制定治疗方案提供依据。方法系统检索国内外指南网站、数据库、相关专业协会网站等与腹膜透析置管前评估内容的相关文献,检索时间为建库至2024年5月。采用临床指南研究与评价系统Ⅱ(appraisal of guidelines for research&evaluationⅡ,AGREEⅡ)及澳大利亚乔安娜布里格斯研究所(Joanna Briggs Institute,JBI)循证卫生保健中心相应的评价工具对纳入的文献进行质量评价,并提取、整合证据;采用专家小组会议法制作初置管手术前评估单。结果共纳入10篇文献,其中专家共识4篇,指南4篇,临床决策2篇。共总结23条最佳证据,制作评估单涵盖一般情况、病史、生理功能、腹部皮肤、个人习惯、社会/家庭支持、患者意愿等内容。结论本研究制作的评估单可帮助临床医护人员为初置管腹膜透析患者制定治疗方案及为健康教育指导提供循证依据。Objective To evaluate and summarize the relevant evidence of pre-catheterization evaluation in peritoneal dialysis(PD)patients,and to produce a preoperative assessment sheet useful for planning clinical treatment.Methods Literature related to the preoperative assessment of PD catheterization was systematically searched in domestic and foreign guide websites,databases,and related professional association websites and others.The retrieval time was from the establishment of the database to May 2024.AGREE II and JBI evaluation tools were used to evaluate the quality of included literatures,and the evidences were then extracted and integrated.The preoperative assessment sheet for first placement of PD catheter was made by a meeting of an expert group.Results A total of 10 articles were included,including 4 expert consensus,4 guidelines and 2 clinical decisions.Twenty-three evidences were summarized,and seven aspects including general condition,medical history,physiological function,abdominal skin,personal habits,social/family support and patient willingness were used for making the assessment sheet.Conclusions This assessment sheet can help clinical staff obtain relevant evidence and make treatment plan and health education for the PD patients undergoing first catheterization.

关 键 词：腹膜透析 初置管 评估单 

分 类 号：R473[医药卫生—护理学]