成人患者人工气道内吸引临床实践指南的内容分析研究

Content Analysis of International Clinical Practice Guidelines Related to Endotracheal Suctioning of Adults with An Artificial Airway

目的对国内外成人患者人工气道内吸引相关临床实践指南进行文献内容分析,为构建适合我国本土的成人患者人工气道内吸引的临床实践指南提供参考。方法采用内容分析法,对网络检索2000年1月-2012年12月相关临床实践指南进行文献内容分析。结果共纳入3份英文临床实践指南,析出评估、准备、实施、效果评价4个阶段共21项成人患者人工气道内吸引相关内容。结论尚未见有中国本土的成人患者人工气道内吸引临床实践指南。国外现有指南虽可指导成人患者人工气道内吸引,但与国内现有的操作规范存在一定差异。研究人员及临床护理人员应结合我国实际情况和最佳证据,构建适合本土的成人患者人工气道内吸引临床实践指南。

Objective To analyze the content of international clinical practice guidelines related to endotracheal suctioning of adults with an artificial airway, and to provide reference for developing corresponding domestic clinical practice guidelines. Methods Content analysis method was used to analyze clinical practice guidelines searched from the Internet between January 2000 and December 2012. Results Three clinical practice guidelines were included and 21 items related to endotracheal suctioning of adults with an artifi cial airway were identifi ed. Conclusions Although the existing clinical practice guidelines can help to guide endotracheal suctioning of adults with an artifi cial airway, there are some differences between guidelines and domestic operation standards. Researchers and clinical nurses should develop local clinical practice guidelines on endotracheal suctioning of adults with an artifi cial airway with consideration of the actual medical situations in China and the best evidences.