PICC相关性血栓风险评估的最佳证据总结

发布时间：2018-04-25 08:29

本文选题：导管插入术 + 外周　；参考：《中华护理杂志》2017年10期

【摘要】：目的检索、评价和总结PICC相关性血栓风险评估的最佳证据,为构建相关评估工具提供参考。方法计算机检索BMJ最佳临床实践(British Medical Journal Best Practice)、Cochrane图书馆、JBI循证卫生保健国际合作中心图书馆、加拿大安大略注册护士协会、美国指南网、国际实践指南注册平台(中文)、中国临床指南文库,以及Pub Med、EMbase、中国知网、中国生物医学数据库建库至2017年3月涉及PICC相关性血栓风险评估的所有文献,包括临床实践指南、最佳实践信息册、推荐实践及系统评价。结果共纳入8篇文献,包括临床实践指南5篇、系统评价3篇。总结个体因素、医源性因素、导管相关因素3大类别,共18项最佳证据。结论 PICC置管前进行个体化的血栓风险评估对预防PICC相关性血栓至关重要。医疗机构应按照循证证据建立PICC相关性血栓的评估制度、程序和实践标准。
[Abstract]:Objective to search, evaluate and summarize the best evidence of PICC associated thrombotic risk assessment, and to provide a reference for the construction of relevant assessment tools. Methods the best clinical practice of BMJ was searched by the British Medical Journal Best practice Library, the Library of the Center for International Cooperation in Evidence-based Health Care, the Ontario Association of registered Nurses, and the American Guidebook Network. Registration platform for International practice guidelines (Chinese, Chinese Clinical guidelines Library, and Pub MedEMbase, China knowledge Network, China Biomedical Database, all literature related to PICC related thrombotic risk assessment until March 2017, including clinical practice guidelines, Best practice information book, recommended practice and system review. Results A total of 8 articles were included, including 5 clinical practice guidelines and 3 systematic reviews. Three categories of individual factors iatrogenic factors and catheter-related factors were summarized with 18 best evidences. Conclusion individualized thrombotic risk assessment before PICC catheterization is essential to prevent PICC-associated thrombus. Medical institutions should establish systems, procedures and practice standards for the evaluation of PICC-related thrombus in accordance with evidence-based evidence.
【作者单位】：江苏大学附属医院老年科;江苏大学附属医院护理部;江苏大学附属医院消化科;复旦大学护理学院;约翰霍普金斯大学护理学院;
【基金】：镇江市卫生科技重点专项项目(SHW2015017) 镇江市社会发展科技支撑项目(SH2013038) 江苏大学临床医学专项基金(JDLCZX035)
【分类号】：R472

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