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护理学报 ›› 2023, Vol. 30 ›› Issue (18): 36-41.doi: 10.16460/j.issn1008-9969.2023.18.036

• 循证护理 • 上一篇    下一篇

机械通气患者隐性误吸识别与预防的最佳证据总结

侯亚甜1, 陈思诺1, 刘孟慧1, 张博文1, 安祥1, 刘允2a, 徐文琪1, 章明阳2b   

  1. 1.河南大学 护理与健康学院,河南 开封 475000;
    2.中山市人民医院 a.护理部;b.手术麻醉三科,广东 中山 528400
  • 收稿日期:2023-08-03 出版日期:2023-09-25 发布日期:2023-10-11
  • 通讯作者: 章明阳（1987-）,男,河南信阳人,硕士,博士研究生在读,副主任护师。E-mail：jdzmy2010@163.com
  • 作者简介:侯亚甜（1998-）,女,河南洛阳人,本科学历,硕士研究生在读。
  • 基金资助:
    2021年度中山市第三批社会公益与基础研究项目（医疗卫生重大、重点项目）（2021B3014）

Best evidence summary for identification and prevention of silent aspiration in mechanically ventilated patients

HOU Ya-tian1, CHEN Si-nuo1, LIU Meng-hui1, ZHANG Bo-wen1, AN Xiang1, LIU Yun2a, XU Wen-qi1, ZHANG Ming-yang2b   

  1. 1. School of Nursing and Health, Henan University, Kaifeng 475000, China;
    2a. Dept. of Nursing Administration; 2b. Dept. of Surgery Anesthesia III, Zhongshan People's Hospital, Zhongshan 528400, China
  • Received:2023-08-03 Online:2023-09-25 Published:2023-10-11

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摘要： 目的 总结机械通气患者隐性误吸识别与预防的最佳证据。方法 检索BMJ Best Practice、JBI循证卫生保健中心数据库、国际指南图书馆（Guidelines International Network,GIN）、美国指南网（National Guideline Clearinghouse,NGC）、英国国家临床医学研究所指南库（National Institute for Health and Care Excellence,NICE）等关于机械通气患者隐性误吸识别与预防的文献,时限为建库至2023年2月。由2名研究者独立评价文献质量并提取证据。结果 共纳入文献25篇,围绕隐性误吸的识别、危险因素、气道管理、体位管理、喂养途径、临床监测、护士培训7个方面,汇总出23条最佳证据。结论 医护人员可参考本研究总结的证据,结合临床实际与患者意愿,识别和预防机械通气患者隐性误吸。

关键词: 机械通气, 隐性误吸, 预防, 循证护理学

Abstract: Objective To summarize the best evidence for the identification and prevention of silent aspiration in mechanically ventilated patients. Methods We searched databases including BMJ Best Practice, JBI, GIN, NGC, NICE to collect literature on the identification and prevention of silent aspiration in patients with mechanical ventilation, and the retrieval period was from the inception of the databases to February 2023. Two researchers independently evaluated literature quality and extracted the evidence. Results Twenty-five articles were selected,and 23 pieces of evidence were summarized from 7 aspects including identification of silent aspiration, risk factors, airway management, postural management, feeding routes, clinical monitoring, and nurse training. Conclusion Medical staff can refer to the evidence summarized in this study, to identify and prevent silent aspiration in patients with mechanical ventilation with the combination of clinical practice and patients' wishes.

Key words: mechanical ventilation, silent aspiration, prevention, evidence-based nursing

中图分类号: 

  • R473.56
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