颅脑损伤患者人工气道分泌物吸引护理实践的最佳证据总结

目的总结颅脑损伤患者人工气道分泌物吸引护理实践的最佳证据,为人工气道护理提供依据。方法针对颅脑损伤患者人工气道分泌物吸引最佳护理实践的问题,检索国内外文献,采用澳大利亚JBI循证卫生保健中心的文献评价标准和证据分级系统对各类研究进行文献质量评价及证据级别评定。结果汇总出颅脑损伤患者人工气道分泌物吸引护理实践证据18条,包括吸痰指征、患者评估及准备、吸痰方式、过程、感染控制6个方面。结论基于循证总结的颅脑损伤患者人工气道分泌物吸引护理实践的最佳证据可规范临床实践,临床科室在证据应用阶段应充分考虑患者的实际情况,综合评估,尽可能地降低吸痰对颅脑损伤带来的负面影响。

Summary of best evidence for artificial airway suctioning in brain-injuryed patients

Objective To retrieve and analyze the best evidence for the practice of artificial airway suctioning in patients with brain injury, and to provide evidence for artificial airway nursing care. Methods Aiming at forming a best practice guide for artificial airway suctioning in patients with brain injury, we retrieved domestic and foreign literature by computerized search. Then we evaluated the quality of studies and determined the level of evidence by referencing to JBI evidence appraisal and recommendation system. Results A total of 18 pieces of evidence regarding artificial airway suctioning for patients with brain injury were summarized, including such six aspects as suction indications, patient assessment and preparation, suction methods, procedures, and infection control. Conclusion The best evidence summary for artificial airway suctioning in patients with brain injury could standardize the practice of artificial airway suctioning in clinical settings. During the application of the evidence, clinical staff should consider the actual situation of patients to make comprehensive assessment, and reduce suction-related damage to the injured brain as much as possible.