成人经口气管插管口腔护理的最佳证据总结

目的 检索、评价并总结成人经口气管插管口腔护理的最佳证据,为临床实践提供参考。方法 遵循“6S”证据模型,系统检索国内外各数据库及指南网中关于成人经口气管插管口腔护理的所有证据,包括指南、系统评价、证据总结、最佳临床实践信息手册、专家共识、临床决策及高质量的原始研究。检索时限从建库至2022年8月5日。由2名研究人员独立对文献进行整体评价,并提取和汇总相关证据。结果 共纳入文献20篇,包括指南5篇、专家共识2篇、系统评价5篇、证据总结1篇、随机对照6篇、类实验研究1篇。根据相关内容共总结出成人经口气管插管口腔护理的25条证据,涉及口腔评估、口腔护理频次、口腔护理的方法和工具、口腔护理液、声门下吸引、管理和培训6个方面。结论 基于循证方法总结的关于经口气管插管口腔护理干预措施的最佳证据具有较好的科学性和可行性,可为重症患者口腔护理提供科学依据。

Best Evidence Summary of Oral Care in adults Receiving Mechanical Ventilation through the Mouth

objective: to search and evaluate the relevant evidence of oral care of adults with oral endotracheal intubation, so as to provide reference for clinical practice. Methods: based on the evidence-based concept, using pipost structure to put forward scientific questions, formulate appropriate retrieval strategies, and search BMJ, up to date, NGC, nice, RNAO, Cochrane Library, CINAHL, JBI, PubMed, EMBASE, CBM, HowNet, Wanfang and other databases, as well as the official website of the national Health Commission according to the "6S" model, Two researchers who received evidence-based training independently evaluated different document types with corresponding document quality evaluation tools, and extracted and summarized the evidence. Results: a total of 18 literatures were included, including 7 guidelines, 1 expert consensus, 6 systematic evaluations, 3 randomized controls, and 1 experimental studies. A total of 24 pieces of evidence from 5 aspects, including oral evaluation, oral care methods and tools, oral care fluid, subglottic attraction and management and training, were summarized. Conclusion: this study summarizes the best evidence about oral nursing intervention measures of oral endotracheal intubation, provides evidence-based basis for scientifically standardizing ICU nurses'' nursing of oral cavity of patients with oral endotracheal intubation, and improves the quality of nursing.