脊髓损伤患者呼吸管理的最佳证据总结

Summary of best evidence for respiratory management in patients with spinal cord injury

目的 总结脊髓损伤(SCI)患者呼吸管理的最佳证据,为临床实践提供参考。方法 系统检索PubMed、EMbase、CLINICAL、BMJ、中国知网、万方、医脉通、中国生物医学文献数据等相关数据库,对纳入研究进行质量评价并提取证据内容。检索时限为建库至2023年1月31日。结果 共纳入15篇文献,其中临床决策3篇、指南3篇,专家共识4篇,系统评价5篇,总结出SCI患者呼吸功能评估、预防措施、呼吸训练、适宜人群与环境、训练强度与时机、健康教育6个方面,共29条最佳证据。结论 总结了SCI患者呼吸管理最佳证据,为护理工作提供了循证依据。建议应用证据时,结合患者需求及临床实际情况制定个性化的呼吸管理方案。

Objective To summarize the best evidence of respiratory management in patients with spinal cord injury(SCI),and provide reference for clinical practice.Method PubMed,EMbase,CLINICAL,BMJ,CNKI,Wan Fang,CBMdisc,etc were systematically searched,and the quality of the included studies was evaluated to extract the evidence content.The search deadline was from database establishment to January 31,2023.Results A total of 15 literatures were included,including 3 clinical decision-making articles,3 guidelines,4 expert consensus articles,and 5 systematic evaluations.A total of 29 best pieces of evidence were summarized in 6 aspects of respiratory function assessment,preventive measures,respiratory training,suitable population and environment,training intensity and timing,and health education for SCI patients.Conclusion This paper summarizes the best evidence for respiratory management in patients with SCI,providing evidence-based support for nursing work.It is suggested to develop personalized respiratory management plans based on patient needs and clinical conditions when applying evidence.