基于约翰霍普金斯循证护理实践模式对阻塞性睡眠呼吸暂停低通气综合征患者最佳睡眠体位护理的证据整合

Evidence integration of the best sleep position nursing in patients with obstructive sleep apnea-hypopnea syndrome based on Johns Hopkins nursing evidence-based practice model

目的 检索并整合OSAHS患者最佳睡眠体位护理的相关证据,为临床科室提供科学有效的参考依据.方法 采用约翰霍普金斯循证护理实践模式,针对OSAHS患者睡眠体位提出问题,使用计算机全面检索相关研究,对各类研究进行文献质量评价及证据级别评定,对证据进行整合并作出建议.结果 结合专业人员判断,共整合出7条OSAHS患者睡眠体位护理的证据,包括体位护理的适应人群、体位护理的效果、最佳睡眠体位、维持体位的方法等方面.结论 睡眠体位护理对OSAHS患者非常重要,但在进一步临床转化应用中,建议临床科室在对患者的选择、证据应用的条件等方面应充分判断,以做出更明智的决策,最终通过应用最佳证据,以科学的护理方法改善患者睡眠通气问题,提升护理质量.

Objective To retrieve and integrate relevant evidence on best sleep position nursing in patients with obstructive sleep apnea-hypopnea syndrome （OSAHS） so as to provide scientific and effective references for clinical departments.Methods Firstly, we put forward questions aiming at sleep position of OSAHS patients with the Johns Hopkins nursing evidence-based practice model. And then, we retrieved related studies by computers in the round and carried out assessment of literature quality and level of evidence for various researches. Finally, we integrated the evidence and made recommendations.Results Combining the judgment of specialized persons, a total of 7 evidences on sleep position nursing of OSAHS patients were integrated, such as adapt-to-the-crowd and effects of position nursing, the best sleep position and method to maintain position.Conclusions The sleep position nursing is very important for OSAHS patients. In further clinical transformation and application, clinical departments should well judge on selection of patients, conditions of evidence application to make sensible decisions so as to improve the quality of nursing by improving patients＇ sleep hypopnea with the scientific nursing methods through applying the best evidence.