ICU获得性衰弱相关系统评价的再评价

目的对ICU获得性衰弱相关系统评价进行再评价,为预防ICU获得性衰弱循证护理实践方案的制定提供证据支持。方法采用系统评价再评价的方法对与ICU获得性衰弱相关的系统评价进行再评价。结果共纳入15项系统评价,内容涉及ICU获得性衰弱的危险因素、发生率、评估和诊断、预防、治疗5个方面,文献方法学质量评分4～7分;对15项系统评价的43条主要结局指标进行证据质量评价,7条证据质量等级为"高",13条为"中",18条为"低",5条为"极低"。结论系统评价再评价对ICU获得性衰弱的危险因素、发生率、评估、诊断、预防、治疗等进行证据汇总,为预防ICU获得性衰弱循证护理实践方案的建立提供了可靠的证据支持。

Overviews of systematic reviews on ICU acquired weakness

Objective To evaluatesy stematic reviews on ICU acquired weakness, and to provide basis for development of evidence-based nursing practice programs which aims at preventing ICU acquired weakness. Methods Overviews of current systematic reviews or Meta-analysis on ICU acquired weakness were carried out. Results Fifteen systematic reviews or meta-analysis which involved such 5 aspects of ICU acquired weakness as risk factors,incidence, assessment and diagnosis, prevention, and treatment, were included.The publications scored 4-7 points in methodological quality.Totally, 43 pieces of evidence were extracted, of which, 7 pieces were at high level, 13 medium level,18 low level, and 5 lowest level. Conclusion The overviews of systematic reviews sums up evidence regarding risk factors, incidence, assessment and diagnosis, prevention, and treatment of ICU acquired weakness, and provides reliable evidence support for the construction of evidence-based nursing practice program aiming at preventing ICU acquired weakness.