慢性鼻窦炎患者鼻腔冲洗护理实践最佳证据总结

Summary of the best evidence for nursing practice of nasal irrigation in chronic sinusitis patients

目的检索、评价并整合慢性鼻窦炎患者鼻腔冲洗护理实践的相关证据,为制定鼻腔冲洗护理实践规范提供依据。方法参照“6S”模型,计算机检索国内外网站或数据库中关于慢性鼻窦炎患者鼻腔冲洗护理的所有证据,包括临床决策、证据总结、指南、专家共识及系统评价,检索时限为2017年1月1日至2022年3月20日。结果共纳入11篇文献,其中临床决策2篇、指南3篇、专家共识2篇、系统评价4篇,最终从操作前准备、溶液选择、容量与压力、温度与姿势、时机与频次、预防感染、特殊人群、注意事项8个方面总结了25条最佳证据。结论慢性鼻窦炎患者鼻腔冲洗护理的最佳证据可为规范相关操作流程提供循证依据,以提高护理效果。

Objective To retrieve,evaluate and integrate relevant evidence related to the practice of nasal lavage care for patients with chronic sinusitis,and to provide a basis for the establishment of nasal lavage nursing practice standards.Methods According to the“6S”model,we searched websites/databases for all evidence on the nursing practice of nasal irrigation in chronic sinusitis patients,including clinical decision supports,evidence summaries,guidelines,expert consensus reports and systematic reviews.The publication date of the literature was limited to the period from January 1,2017.to March 20,2022.Results A total of 11 articles were included,including 2 clinical decision supports,3 guidelines,2 expert consensus reports and 4 systematic reviews.Finally,25 pieces of best evidence were summarized into 8 aspects(preparation before operation,solution selection,volume and pressure,temperature and posture,timing and frequency,prevention of infection,special populations,precautions).Conclusion The summarizes best evidence on nursing practice of nasal lavage care for chronic sinusitis patients,can provide an evidence-based basis for standardizing the relevant practice by nursing staff,and for the improvement in nursing effectiveness.