血液透析患者中心静脉置管护理的最佳证据总结

Summary of the best evidence for central venous catheterization in hemodialysis patients

目的检索、评价和整合血液透析患者中心静脉置管护理措施的最佳证据,并对最佳证据进行总结。方法计算机检索Cochrane Library、PubMed、Embase、Medline、万方、中国知网、维普、JBI循证护理等数据库,检索范围包括指南、专家共识、系统评价、证据总结及随机对照实验。检索时限为建库至2020年3月1日。结果最终共纳入文献10篇,包括指南2篇、系统评价3篇、专家共识1篇、随机对照试验4篇。结论总结了血液透析患者中心静脉置管护理的最佳证据,形成了具体的推荐建议,可为临床医护人员提供相关护理循证依据,对科学护理血液透析患者中心静脉置管具有指导意义。

Objective To retrieve,evaluate and integrate the best evidence for central venous catheterization in hemodialysis patients,and to summarize the best evidence.Methods A computer search of the Cochrane Library,PubMed,Embase,Medline,Wanfang,China Knowledge Network,Weipu and other databases and Yimaitong Clinical Guide Network,JBI EvidencEbased Nursing Database and Chinese database CNKI was performed.The searched evidence and results of randomized controlled experiments were summarized.The search period was from the time of construction to March 1,2020.Results A total of 10 articles were enrolled,including 2 guidelines,3 systematic reviews,1 expert consensus,and 4 randomized controlled trials.Conclusion The best evidence of central venous catheterization for hemodialysis patients was summarized and specific recommendations were formed,which provide evidencEbased nursing for clinical medical staff,and instructive significance for scientific nursing of central venous catheterization in hemodialysis patients.