慢性阻塞性肺疾病患者长期家庭氧疗的最佳证据总结
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女,硕士在读,护士

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安徽省高校省级人文社科重大项目(SK2019ZD16)


Summary of best evidence on long-term home oxygen therapy for patients with chronic obstructive pulmonary disease
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    目的 总结慢性阻塞性肺疾病患者长期家庭氧疗的最佳证据,为开展长期家庭氧疗实践提供指导。 方法 计算机检索美国国立指南库、美国胸科协会、英国胸科协会、爱尔兰胸科协会者、澳大利亚和新西兰胸科协会、Cochrane Library、PubMed、JBI、BMJ等网站及数据库关于慢性阻塞性肺疾病患者长期家庭氧疗的指南、专家共识、证据总结、系统评价和随机对照试验,由2名研究员对符合质量标准的文献进行证据提取归纳。 结果 共纳入10篇文献,包含指南5篇、临床决策1篇、专家共识1篇、系统评价1篇、随机对照试验2篇,形成最佳证据25条,包括长期家庭氧疗的适应证、禁忌证、长期家庭氧疗原则、评估与监测、长期家庭氧疗方案、质量控制、注意事项、健康教育等10个主题。 结论 建议医护人员遵循最佳证据为患者制订个体化的长期家庭氧疗管理方案,促进循证实践。

    Abstract:

    Objective To summarize the best evidence on long-term home oxygen therapy (LTOT) for patients with chronic obstructive pulmonary disease (COPD), and to provide guidance for LTOT practice. Methods Computerized search in such websites and databases as the National Guideline Clearinghouse(NGG), the American Thoracic Society(ATS), British Thoracic Society(BTS), Irish Thoracic Society(ITS), Thoracic Society of Australia and New Zealand(TSANZ), Cochrane Library, PubMed, JBI,BMJ, etc, was conducted to collect relevant guidelines, expert consensus reports, evidence summary reports, systematic reviews and randomized controlled trials on LTOT for COPD patients. Two researchers extracted and summarized the evidence from publications that met the quality standards. Results A total of 10 publications (5 guidelines, 1 clinical decision, 1 expert consensus report, 1 systematic review, 2 randomized controlled trials) were included, leading to the formation of 25 pieces of best evidence, which generated such 10 themes as LTOT indications, contraindications, oxygen therapy principles, patient assessment and monitoring, LTOT plan, quality control, precautions, and health education, etc. Conclusion It is recommended that medical staff follow the best evidence to develop individualized LTOT management for COPD patients and promote evidence-based practice.

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李雪儿,杨雪凝,Akimana Sandra,王琴,段晓侠,汪艳,张静.慢性阻塞性肺疾病患者长期家庭氧疗的最佳证据总结[J].护理学杂志,2021,36(3):42-46

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  • 收稿日期:2020-09-21
  • 最后修改日期:2020-11-16
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  • 在线发布日期: 2022-09-18