ICU机械通气患者早期活动相关指南和共识的质量评价与内容分析
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女,硕士在读,护士

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重庆市教委护理学十三五重点学科资助项目(2019hlxk02)


Quality evaluation and content analysis of guidelines and consensus statements on early mobilization in mechanically ventilated patients in the ICU
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    摘要:

    目的 评价ICU机械通气患者早期活动相关指南和共识的方法学质量及报告质量,并分析指南及共识中早期活动内容。方法 系统检索国内外指南网、相关组织网站以及数据库,按照纳入排除标准筛选文献;4名评价员采用AGREEⅡ评价工具和RIGHT标准评价纳入指南及共识的方法学质量和报告质量,并对早期活动推荐内容进行分析和总结。结果 共纳入4篇指南及7篇共识,1篇指南质量评价为A级,3篇指南及7篇共识为B级。早期活动的推荐内容可归纳为活动目标、活动原则、活动前风险筛查、活动实施及监测4个方面。结论 纳入的指南和共识方法学质量及报告质量总体一般,需要更高质量证据支持的中国本土化早期活动指南或共识,以帮助医护人员更好地为患者实施早期活动。

    Abstract:

    Objective To evaluate the methodological and reporting quality of guidelines and consensus statements on early mobilization in mechanically ventilated patients in the ICU, and to analyze the contents of early mobilization. Methods Electronic resources such as guideline databases, related organization websites and biomedical databases were searched to retrieve guidelines and consensus statements on early mobilization of ICU patients on mechanical ventilation. Four reviewers independently evaluated the methodological and reporting quality of the literature by using the Appraisal of Guidelines for Research & EvaluationⅡReporting Checklist (AGREEⅡ) and the RIGHT statement, then they analyzed and summarized the contents of early mobilization protocol. Results A total of 4 guidelines and 7 consensus statements were included, with 1 guideline of Grade A quality and the rest literature of Grade B quality. Early mobilization protocol consisted of 4 aspects of objectives, principles, risk screening, implementation and monitoring. Conclusion The methodological and reporting quality of the included guidelines and consensus statements are average, and high-quality evidence are needed to develop domestic guideline or consensus on early mobilization, thus to help medical professionals implement early mobilization in the ICU.

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杨睿琦,甘秀妮,白雪,高汝琪,左丹,郑秋兰,张传来. ICU机械通气患者早期活动相关指南和共识的质量评价与内容分析[J].护理学杂志,2021,36(6):5-10

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  • 收稿日期:2020-11-05
  • 最后修改日期:2020-12-25
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  • 在线发布日期: 2022-09-16