住院患者ICU过渡期护理的最佳证据总结

An evidence summary of transitional care interventions for patient discharge from intensive care units

目的总结住院患者ICU过渡期护理的最佳证据,为护理实践提供指引。方法依据“6S”模型检索相关文献,文献检索时限为建库至2021年9月31日。由4名研究者对各类研究进行质量评价和资料提取,对符合质量标准的文献进行证据提取。采用JBI的证据分级及推荐级别系统(2014版)对纳入的证据进行分级。结果共纳入24篇文献,总结了7个类别(过渡期组织支持系统、团队沟通与协作、ICU转出评估与决策、转运与交接、随访与康复、护患沟通与教育信息支持、护理质控)34条最佳证据。结论总结的最佳证据可为开展ICU过渡期护理实践提供依据,以提高干预措施的有效性与安全性。

Objective To create an evidence summary of the available literature regarding transitional care for patient discharge from intensive care units,and to provide guidance for nursing practice.Methods A literature search was performed following the 6S Hie-rarchy of Evidence-Based Resources in websites and electronic databases from establishment of the database to September 31,2021.Four researchers independently evaluated quality of the literature and extracted evidence that met the quality standards.Le-vels of evidence were established by using the JBI Levels of Evidence and Grades of Recommendation(2014 edition).Results Twenty-four publications were included,and 34 pieces of evidence were synthesized,embracing seven categories-organizational support system,team communication and cooperation,assessment and decision-making for transfer out of intensive care,transfer and handover,follow-up and rehabilitation,nurse-patient communication and educational support,and nursing quality control.Conclusion The evidence summarized in this study can provide reference for implementing transitional care for patient discharge from ICU,resulting in improving effectiveness and safety of the intervention measures.