经外周置入中心静脉导管相关皮肤损伤风险评估的最佳证据总结

Summary of Best Evidence for Risk Assessment of PICC Catheter-Associated Skin Lesions

目的 检索、评价、汇结经外周置入中心静脉导管(peripherally inserted central venous catheter, PICC)导管相关皮肤损伤风险评估的最佳证据,为PICC导管相关皮肤损伤风险评估工具的构建提供依据。方法 系统检索国内外文献数据库及网站中关于PICC导管相关皮肤损伤风险评估的临床决策、实践指南、最佳证据、横断面研究等。结果 共纳入13篇文献,分别为实践指南及专家共识各4篇、系统评价及横断面各1篇、证据总结3篇。总结内在因素、外在因素、评估内容、评估时机、评估工具5个主题,共34项最佳证据。结论 总结的最佳证据具有科学性和实用性,对PICC携管期间预防皮肤损伤有指导意义。

Objective To search,evaluate and summarize the best evidence of PICC catheter-related skin injury risk assessment,and to provide a basis for the construction of a PICC catheter-related skin injury risk assessment tool.Methods literature on the risk assessment of PICC catheters associated with skin injury were searched,including clinical decisions,guidelines,summaries of evidence,best practices,recommended practices,cross-sectional studies etc.Results A total of 13 literatures were included,including 4 clinical practice guidelines,4 expert consensus,1 systematic review,1 cross-sectional study,and 3 evidence summaries.A total of 34 best evidences were summarized from five aspects:internal factors,external factors,evaluation content,evaluation opportunity and evaluation tools.Conclusions It is extremely important to conduct individualized risk assessment of skin injury during PICC.Medical institutions should conduct whole-course and dynamic assessment of catheter-related skin injury for PICC carriers based on evidence-based medicine.