成人患者气管切开护理相关临床实践指南的质量评价及内容分析

doi:10.16460/j.issn1008-9969.2021.05.038

摘要/Abstract

摘要： 目的对国内外成人患者气管切开护理相关临床实践指南进行质量评价和内容分析,为临床进行基于证据的气管切开护理实践和构建适合我国本土的成人患者气管切开管理临床实践指南提供参考。方法系统检索专业指南网、相关学会网站及数据库发布的成人患者气管切开护理相关指南,应用标准质量评价工具AGREEⅡ对纳入的循证指南进行质量评价,采用澳大利亚JBI循证卫生保健中心专家共识评价标准对基于专家共识的指南进行评价,并汇总指南中气管切开护理相关内容。结果共纳入13篇指南,其中循证指南6篇,基于专家共识7篇。6篇循证指南的质量评价均为B级。7篇专家共识指南总体评价结果均为“纳入”。从13篇指南中共提取16个方面有关气管切开护理内容。结论现有人工气道临床实践指南可以用于指导临床实践,但是不能为气管切开护理提供足够科学的参考依据,缺乏高质量的原始研究。结合我国实际情况,积极开展气管切开护理相关原始研究。

关键词: 人工气道, 气管切开, 实践指南, 质量评价, 内容分析

Abstract: Objective To conduct quality assessment and content analysis of clinical practice guidelines related to tracheotomy care of adult patients, and to provide references for evidence-based tracheotomy nursing and develop clinical practice guidelines for Chinese patients. Methods Systematic research of guidelines for tracheotomy care for adult patients from international guideline websites, websites of academic societies or institutions,and electronic databases was conducted. The quality of the literatures were evaluated according to AGREE II and JBI Critical Appraisal Checklist for Text and Opinion Papers in Australia. Results A total of 13 clinical practice guidelines were included, 6 of which were evidence-based while the other 7 were expert consensus. The 6 evidence-based guidelines were rated according to AGREE II as B and all 7 expert consensus guidelines were rated as included.Sixteen items pertaining to tracheotomy nursing were finally identified. Conclusion The existing clinical practice guidelines can be used in clinical practice, but can't provide enough scientific reference for tracheotomy nursing, and there is inadequate high-quality original research. The original research on tracheotomy nursing should be carried out according to the actual situation of our country.

Key words: artificial airway, tracheotomy, practice guide, quality appraisal, content analysis

中图分类号:

R473.6

尚苗苗, 王丽媛, 张振美, 颜丙萍, 刘莉, 杨丽娟. 成人患者气管切开护理相关临床实践指南的质量评价及内容分析[J]. 护理学报, 2021, 28(5): 38-42.

SHANG Miao-miao, WANG Li-yuan, ZHANG Zhen-mei, YAN Bing-ping, LIU Li, YANG Li-juan. Quality Appraisal and Content Analysis of Clinical Practice Guidelines Related to Tracheotomy Care of Adult Patients[J]. Journal of Nursing, 2021, 28(5): 38-42.

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