慢性阻塞性肺疾病患者长期氧疗管理的最佳证据总结

doi:10.16460/j.issn1008-9969.2021.15.035

摘要/Abstract

摘要： 目的检索、遴选并整合慢性阻塞性肺疾病患者长期氧疗管理的最佳证据,为临床工作提供参考。方法系统依次检索BMJ best practice、Up To Date、JBI循证卫生保健国际合作中心图书馆、系统摘要数据库、美国国立指南数据库、加拿大安大略注册护士协会、苏格兰学院间指南网、国际指南协作组、英国国家卫生与临床优化研究所库、澳大利亚指南网、临床系统改进协会、慢性阻塞性肺疾病全球倡议、美国胸科协会、英国胸科协会、爱尔兰胸科协会、澳大利亚和新西兰胸科协会、医脉通临床指南网、Cochrane Library、EMbase、CINAHL、PubMed、万方数据库、中国知网、维普数据库、中国生物医学文献数据库中所有关于慢性阻塞性肺疾病患者长期氧疗证据,包括指南、专家共识、最佳实践、系统评价、证据总结及随机对照研究。由2名研究员对文献质量独立评价,结合专业人士的判断,对符合纳入标准的文献进行资料提取。结果共纳入20篇文献,包括临床决策2篇、证据总结4篇、指南8篇、系统评价1篇、专家共识3篇、随机对照试验2篇。总结长期氧疗定义、多学科团队、适用指征、氧疗设备基本要求与选择、实施、动态评估与监测、健康教育与出院随访8大类27条最佳证据。结论本研究总结了目前慢性阻塞性肺疾病患者长期氧疗管理的最佳证据,为标准化临床护理方案提供循证依据,改善患者结局,提升护理质量。

关键词: 慢性阻塞性肺疾病, 氧疗, 证据总结, 循证护理

Abstract: Objective To search, select and integrate the best evidence of long-term oxygen therapy management for patients with chronic obstructive pulmonary disease (COPD) and to provide reference for clinical practice. Methods We searched BMJ best practice, Up To Date, JBI Library, System Abstract Database, American National Guidelines Database, Ontario Registered Nurses Association of Canada, Scottish Intercollegiate Guidelines Network, International Guidelines Collaboration Group, British National Health and Clinical Optimization Research Institute Library, Australian Guidelines Network, Clinical System Improvement Association, Chronic Obstructive Pulmonary Disease Global Initiative, American Thoracic Association, British Thoracic Association, Irish Thoracic Society,Australian and New Zealand Thoracic Society,Yimaitong Clinical Guidelines Network, Cochrane Library, EMbase, CINAHL,PubMed, Wanfang, CNKI, VIP and CBM to collect evidence on long-term oxygen therapy for COPD patients including guidelines, expert consensus, best practices, systematic reviews, evidence summary and randomized controlled studies.Two researchers independently evaluated the quality of the literature, combined with the judgment of professionals, and extracted the literature that met the inclusion criteria. Results Twenty articles were selected,including 2 clinical decisions, 4 evidence summaries, 8 guidelines, 1 systematic review,3 expert consensuses and 2 randomized controlled trials. Totally 27 pieces of best evidence in 8 categories of definition of long-term oxygen therapy, multidisciplinary team, indications for application, basic requirements and selection of oxygen therapy equipment, implementation, dynamic assessment and monitoring, health education and discharge follow-up were summarized. Conclusion This study summarizes the best evidence of long-term oxygen therapy management for COPD patients, provides evidence-based basis for standardized clinical care programs, and improves patient outcomeand the quality of care.

Key words: chronic obstructive pulmonary disease, oxygen inhalation therapy, evidence summary, evidence-based nursing

中图分类号:

R473.56

张艳红, 罗彩凤, 米元元, 朱丽群, 刘巧艳, 严雪琴, 张政怡, 黄汉鹏. 慢性阻塞性肺疾病患者长期氧疗管理的最佳证据总结[J]. 护理学报, 2021, 28(15): 35-41.

ZHANG Yan-hong, LUO Cai-feng, MI Yuan-yuan, ZHU Li-qun, LIU Qiao-yan, YAN Xue-qin, ZHANG Zheng-yi, HUANG Han-peng. Best Evidence Summary for Management of Long-term Oxygen Therapy in Patients with Chronic Obstructive Pulmonary Disease[J]. Journal of Nursing, 2021, 28(15): 35-41.

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