维持性血液透析患者容量管理的最佳证据总结

目的检索、评价并整合维持性血液透析患者容量管理的最佳证据,为完善维持性血液透析患者容量管理提供参考。方法系统检索循证资源及文献数据库、专业协会网站中有关维持性血液透析患者容量管理的证据,包括临床决策、指南、证据总结、最佳临床实践信息册、推荐实践、专家共识及系统评价。结果共纳入文献12篇,包括临床决策2篇、指南6篇、专家共识1篇、证据总结2篇、系统评价1篇,从评估与监测、钠水限制、容量超负荷处理、提高患者依从性4个方面汇总14条证据。结论医护人员可结合所在机构环境与患者意愿,选择性应用证据,为患者制定个性化容量管理方案,从而提高护理质量。

Evidence summary on fluid management in maintenance hemodialysis patients

Objective To retrieve,assess and summarize the existing evidence on fluid management in maintenance hemodialysis patients.Methods Systematic searches for evidence were performed across multiple sources as electronic databases and websites,to retrieve clinical decision,guideline,evidence summary,best practice information sheet,recommended practice,expert consensus and systematic review on fluid management in maintenance hemodialysis patients.Results Two best practice reports,6 guidelines,1 expert consensus statement,2 evidence summaries and 1 systematic review were included.Four aspects with 14 pieces of evidence were summarized,including assessment and monitoring,sodium and fluid restriction,management of volume overload and enhancing patient compliance.Conclusion Medical staff could implement the evidence into clinical practice by considering situation of the institution and patient′s preference,thus to develop patient-centered fluid management protocol and improve nursing quality.