[1]沈蕾 柴玲 孙美艳 董宁 张思婷 廖新威 郭成桦 孙文秀 张林.成人急性呼吸道传染病患者俯卧位通气管理的最佳证据总结[J].中国卫生质量管理,2024,31(06):037-43.[doi:10.13912/j.cnki.chqm.2024.31.6.09]
 SHEN Lei,CHAI Ling,SUN Meiyan.Summary of Best Evidence for Prone Ventilation Management in Adult Patients with Acute Respiratory Infectious Diseases[J].Chinese Health Quality Management,2024,31(06):037-43.[doi:10.13912/j.cnki.chqm.2024.31.6.09]
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成人急性呼吸道传染病患者俯卧位通气管理的最佳证据总结()
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第31卷
期数:
2024年06期
页码:
037-43
栏目:
医疗质量
出版日期:
2024-06-15

文章信息/Info

Title:
Summary of Best Evidence for Prone Ventilation Management in Adult Patients with Acute Respiratory Infectious Diseases
作者:
沈蕾 柴玲 孙美艳 董宁 张思婷 廖新威 郭成桦 孙文秀 张林
上海市公共卫生临床中心
Author(s):
SHEN LeiCHAI LingSUN Meiyan
Shanghai Public Health Clinical Center
关键词:
急性呼吸道传染病成人俯卧位通气呼吸治疗循证护理
Keywords:
Acute Respiratory Infectious DiseasesAdultsProne Position VentilationRespiratory TherapyEvidence-Based Nursing
分类号:
R197.323
DOI:
10.13912/j.cnki.chqm.2024.31.6.09
文献标志码:
A
摘要:
目的 检索、评价、提取并汇总成人急性呼吸道传染病患者俯卧位通气管理的最佳证据,为俯卧位通气规范化治疗提供循证依据。方法根据“6S”证据模型,系统检索各指南网站及中英文数据库相关文献,由研究人员对纳入文献进行质量评价、证据提取与汇总。结果共纳入11篇文献,包括3篇临床决策、5篇指南、1篇证据总结、2篇专家共识。最终形成包括人员准备、院感防控、护理评估、实施要点、风险管理、健康教育和特殊人群照护等7个方面共48条的最佳证据。结论在证据应用过程中医护人员应基于具体临床情境,制订个体化俯卧位通气治疗方案,以改善患者临床结局。
Abstract:
ObjectiveTo search, evaluate, extract and summarize the best evidence of prone ventilation management in adult patients with acute respiratory infectious diseases, and provide evidence-based basis for the standardized treatment of prone ventilation.MethodsAccording to the "6S" evidence model, the related literatures were systematically searched from guideline websites and Chinese and English databases. The quality evaluation, evidence extraction and summary of the included literatures were carried out by researchers.ResultsA total of 11 literatures were included, including 3 clinical decision-making literatures, 5 guidelines, 1 evidence summary, and 2 expert consensus. 48 best pieces of evidence were summarized, including 7 aspects: personnel preparation, infection control, nursing evaluation, implementation points, risk management, health education, and special population care. Conclusion In the process of evidence application, medical staff should formulate an individualized prone position ventilation treatment plan based on the specific clinical situation to improve the clinical outcome of patients.

参考文献/References:

[1]杨 津,冯录召,赖圣杰,等.急性呼吸道传染病症状监测及预警技术的现状与展望[J].中华流行病学杂志, 2023, 44(1) : 60-66.[2]JONES KE, PATEL NG, LEVY MA,et al.Global trends in emerging infectious diseases[J]. Nature,2008,451(7181):990-993. [3]PIERCE AK, SALTZMAN HA. Conference on the scientific basis of respiratory therapy[J]. Am Rev Respir Dis,1974,110(6 Pt 2):1-3.[4]DOUGLAS WW, REHDER K, BEYNEN FM, et al. Improved oxygenation in patients with acute respiratory failure: the prone position[J].Am Rev Respir Dis,1977,115(4):559-566.[5]ALHAZZANI W, PARHAR KKS, WEATHERALD J,et al. Effect of awake prone positioning on endotracheal intubation in patients with COVID-19 and acute respiratory failure: a randomized clinical trial[J]. JAMA,2022,327(21):2104-2113. [6]FRALICK M, COLACCI M, MUNSHI L, et al. Prone positioning of patients with moderate hypoxaemia due to covid-19: multicentre pragmatic randomised trial (COVID-PRONE)[J].BMJ,2022,376:e068585.[7]伏 娜,柴博峰,吴 丹,等.基于Web of Science数据库分析俯卧位通气全球研究趋势[J]. 实用临床医药杂志,2022,26(22):20-24,32. [8]朱 政,胡 雁,邢唯杰,等.不同类型循证问题的构成[J]. 护士进修杂志,2017,32(21):1991-1994. [9]DICENSO A,BAYLEY L,HAYNES RB.Accessing pre-appraised evidence: fine-tuning the 5S model into a 6S model[J].Evid Based Nurs,2009,12(4):99-101.[10]BROUWERS MC, KHO ME, BROWMAN GP, et al. AGREE II: advancing guideline development, reporting and evaluation in health care[J]. CMAJ,2010,182(18):839-842. [11]FOSTER MJ, SHURTZ S. Making the Critical Appraisal for Summaries of Evidence (CASE) for evidence-based medicine (EBM): critical appraisal of summaries of evidence[J]. J Med Libr Assoc,2013,101(3):192-198. [12]胡 雁,郝玉芳.循证护理学[M]. 2版.北京:人民卫生出版社,2018:50.[13]顾 莺,张慧文,周英凤,等. JBI循证卫生保健中心关于不同类型研究的质量评价工具:系统评价的方法学质量评价[J].护士进修杂志,2018,33(8):701-703. [14]王春青,胡 雁. JBI证据预分级及证据推荐级别系统(2014版)[J].护士进修杂志,2015,30(11):964-967.[15]ANESI GL.COVID-19: respiratory care of the nonintubated hypoxemic adult (supplemental oxygen, noninvasive ventilation, and intubation)[EB/OL].(2023-09-06)[2023-12-18].https://www.uptodate.com/contents/zh-Hans/covid-19-respiratory-care-of-the-nonintubated-hypoxemic-adult-supplemental-oxygen-noninvasive-ventilation-and-intubation?search=%E4%BF%AF%E5%8D%A7%E4%BD%8D&source=search_result&selectedTitle=4~150&usage_type=default&display_rank=4.[16]WARE L.Acute respiratory distress syndrome (ARDS)[EB/OL].(2023-10-24)[2023-12-18].https://bestpractice.bmj.com/topics/en-gb/374/treatment-algorithm.[17]MALHOTRA A.Prone ventilation for adult patients with acute respiratory distress syndrome[EB/OL].(2022-11-23)[2023-12-18].https://www.uptodate.com/contents/zh-Hans/prone-ventilation-for-adult-patients-with-acute-respiratory-distress-syndrome.[18]National Institute for Health and Care Excellence.COVID-19 rapid guideline: managing COVID-19[EB/OL].(2022-06-15)[2023-12-18].https://www.nice.org.uk/guidance/ng191.[19]GRASSELLI G, CALFEE CS, CAMPOROTA L, et al. ESICM guidelines on acute respiratory distress syndrome: definition, phenotyping and respiratory support strategies[J]. Intensive Care Med,2023,49(7):727-759. [20]TASAKA S, OHSHIMO S, TAKEUCHI M, et al. ARDS Clinical Practice Guideline 2021[J]. J Intensive Care,2022,10(1):32. [21]World Health Organization.Clinical management of COVID-19: living guideline[EB/OL].(2022-06-23)[2023-12-18].https://www.who.int/publications/i/item/WHO-2019-nCoV-clinical-2022-1.[22]PAPAZIAN L, AUBRON C, BROCHARD L, et al. Formal guidelines: management of acute respiratory distress syndrome[J]. Ann Intensive Care,2019,9(1):69. [23]蒋 燕,陆 叶,蒋旭琴,等.成人急性呼吸窘迫综合征患者俯卧位通气管理的最佳证据总结[J].中华护理杂志,2022,57(15):1878-1885. [24]中华护理学会内科专业委员会,四川大学华西循证护理中心,罗云婷,等.成人急性呼吸窘迫综合征患者清醒俯卧位护理专家共识[J].中华护理杂志,2023,58(15):1797-1801. [25]NASA P,AZOULAY E,KHANNA AK,et al.Expert consensus statements for the management of COVID-19-related acute respiratory failure using a Delphi method[J]. Crit Care,2021,25(1):106. [26]国家卫生健康委.关于做好冬春季新冠病毒感染及其他重点传染病防控工作的通知[EB/OL].(2023-11-17)[2024-01-08].http://www.nhc.gov.cn/ylyjs/pqt/202311/b2978060a77948cdaea68bfe305 9bb0c.shtml.[27]BOUROUIBA L. Fluid dynamics of respiratory infectious diseases[J]. Annu Rev Biomed Eng, 2021,23:547-577. [28]陈柯宇,刘扣英,王 荣,等.急性呼吸道传染病医务人员气溶胶防护措施的证据总结[J]. 中国实用护理杂志,2021,37(9):699-706. [29]WINCK JC, AMBROSINO N. COVID-19 pandemic and non invasive respiratory management: every goliath needs a david. An evidence based evaluation of problems[J].Pulmonology,2020,26(4):213-220. [30]汪 晖,吴欣娟,马玉芬,等.呼吸道传染病产生气溶胶高风险护理操作防护专家共识[J].中华护理杂志,2020,55(12):1784.[31]BIRKMIRE IC, LAY JR, MCMAHON MC. Keys to effective third-party process safety audits[J].J Hazard Mater,2007,142(3): 574-581.[32]张嘉欣.基于ADDIE模型的临床护士新冠肺炎防控培训方案的构建与实施[D].长春:吉林大学,2023.[33]葛伟婷,徐柳燕,方思岚,等.急性呼吸道传染病患者经鼻高流量氧疗期间医院感染防控的最佳证据总结[J].中华护理杂志,2023,58(5):544-551. [34]RAJAT K , TIFFANY R , JILL D,et al. A prospective, descriptive study on awake self-prone in hospitalized COVID-19 patients: a multidisciplinary approach[J].Clinical Nurse Specialist: CNS, 2022(2):36.[35]NAPOLITANO LM, PARK PK, RAGHAVENDRAN K, et al. Nonventilatory strategies for patients with life-threatening 2009 H1N1 influenza and severe respiratory failure[J]. Crit Care Med, 2010 ,38(4 Suppl):74-90. [36]GIRARD R,BABOI L,AYZAC L,et al. The impact of patient positioning on pressure ulcers in patients with severe ARDS:results from a multicenter randomised controlled trial on pro ne positioning[J].Intensive Care Med,2014,40(3):397-403.[37]张 丽,杨婷婷,史丽萍,等.俯卧位通气患者肠内营养管理的最佳证据总结[J].中华急危重症护理杂志,2023,4(2):112-118.[38]熊 洁.急性呼吸窘迫综合征患者俯卧位通气的风险管理[J].现代医药卫生,2017,33(24):3830-3831.[39]GARCA A, GALEIRAS R, PERTEGA-DAZ S. Awake prone decubitus positioning in COVID-19 patients: a systematic review and meta analysis[J].J Crit Care Med (Targu Mures),2023,9(2):73-86. [40]STILMA W, KERMAN E, ARTIGAS A, et al. Awake proning as an adjunctive therapy for refractory hypoxemia in non-intubated patients with COVID-19 acute respiratory failure: guidance from an international group of healthcare workers[J]. Am J Trop Med Hyg,2021,104(5):1676-1686. [41]李丝静,江智霞,杨晓玲,等.清醒俯卧位通气在急性低氧性呼吸衰竭患者中应用效果的Meta分析[J].中华护理杂志,2023,58(13):1640-1647.

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更新日期/Last Update: 2024-06-15