ICU成人患者操作性疼痛管理的最佳证据总结

Summary of best evidence for procedural pain management in adult patients in ICU

目的检索、筛选、总结ICU成人患者操作性疼痛管理的最佳循证证据,为临床实际提供参考。方法检索国内外数据库、指南网、专业协会网站收录的关于ICU成人患者操作性疼痛管理的指南、临床决策、专家共识、系统评价、随机对照试验(RCT)等。检索时限为建库至2022年8月31号。结果共纳入14篇文献,其中6篇指南、3篇RCT、3篇系统评价、2篇临床决策,共提取出8个主题和27条最佳证据。结论建议临床医务人员根据操作性疼痛管理的用药原则及时机为ICU成人患者提供个性化、多模式的操作性疼痛干预措施,以改善ICU患者操作性疼痛体验,提升护理质量。

Objective To search,screen,and summarize the best evidence-based evidence for procedural pain management in adult patients in the Intensive Care Unit(ICU),so as to provide reference for clinical practice.Methods Guidelines,clinical decisions,expert consensus,systematic reviews,and randomized controlled trial(RCT)on procedural pain management for adult patients in ICU were searched in domestic and foreign databases,guide websites,and professional association websites.The search time limit was from the establishment of the database to August 31,2022.Results A total of 14 articles were included,including six guidelines,three RCTs,three systematic reviews,and two clinical decisions.A total of 8 themes and 27 best evidence were extracted.Conclusions It is recommended that clinical medical and nursing personnel provide personalized and multimodal procedural pain intervention measures for adult patients in ICU in a timely manner in accordance with the medication principles of procedural pain management,in order to improve the procedural pain experience of ICU patients and the quality of nursing.