成人ICU患者日记法应用的证据总结

Evidence summary of the application of the diary method in adult ICU patients

目的系统检索、评价、汇总并提取成人ICU患者日记法应用的最佳证据,为临床ICU日记法的实施提供循证依据。方法计算机检索国内外相关专业网站和数据库中关于成人ICU患者日记法应用的所有证据,检索类型包括指南、证据总结、专家共识、系统评价、临床决策等,检索时限为建库至2024年1月25日。由2名研究者独立实施文献筛选和质量评价工作,根据主题进行证据提取、分类和汇总。结果共纳入文献13篇,其中专家共识1篇,指南2篇和系统评价10篇,形成以应用认知、应用效果、目标人群、书写人员、日记内容、书写注意事项、应用指导、日记管理等在内的8个维度、32条证据的成人ICU患者日记法应用的最佳证据。结论医护人员应结合相应的临床情境,审慎选择适宜证据,多学科团队合作开展符合个体情况的ICU日记法最佳证据实践。

Objective To systematically screen,evaluate,summarize and extract the optimal evidence for the application of the diary method in adult patients in the intensive care unit(ICU),so as to provide evidence-based basis for the implementation of the diary method in ICU.Methods All the evidence on the application of the diary to adult ICU patients were searched in relevant professional websites and databases at home and abroad,including the guidelines,evidence summary,expert consensus,systematic reviews,clinical decisions,etc.The retrieval time was from the establishment of the database to January 25,2024.Two researchers independently conducted literature screening,quality evaluation,data extraction,classification and evidence summary according to the topic.Results A total of 13 articles were included,with 1 expert consensus,2 guidelines and 10 systematic reviews.The optimal evidence for the application of diary method in ICU adult patients was formed,including 8 dimensions(application cognition,application effect,target population,writers,diary content,writing notes,application guidance and diary management)and 32 pieces of evidence.Conclusion Medical staff should carefully select appropriate evidence according to the corresponding clinical situation,and a multidisciplinary team cooperation should be carried out to yield the optimal individualized evidence practice of the diary method in ICU.