摘要
目的检索、评价并整合国内外小儿镇静监测的相关证据,并对最佳证据进行总结。方法系统检索Up To Date、BMJ Best Practice、加拿大医学会临床实践指南、加拿大安大略注册护士协会、英国国家临床优化研究所、Evidence-Based Medicine、Cochrane Library、医脉通、PubMed、Embase、万方数据库、中国知网内关于小儿镇静监测相关的所有证据,包括临床决策、指南、专家共识、证据相关原始研究等。检索时限为建库至2020年8月;根据文献类型选择合适的文献质量评价工具;使用JBI系统相关工具确定证据等级及推荐级别。结果最终纳入13篇文献。总结出20条最佳证据,包括监测内容、监测时机、监测工具3个方面。结论本研究总结了小儿镇静监测的最佳证据,为临床实践与标准制订提供循证依据。本研究纳入的证据大多来源于国外,建议临床科室或机构在证据应用时充分考虑临床情境并进一步开展高质量随机对照研究。
Objective To search,evaluate and integrate the available evidence on pediatric sedation monitoring,and summarize the best evidence.Methods Up To Date,BMJ Best Practice,Canadian Medical Association Clinical Practice Guidelines(CMA Infobase),Registered Nurses′Association of Ontario(RNAO),National institute for Health and Care Excellence(NICE),Evidence-Based Medicine,Cochrane Library,Yimaitong,PubMed,Embase,Wanfang Database,CNKI were searched to collect evidence related to the monitoring of pediatric sedation,including clinical decision-making,guidelines,expert consensus,and evidence-related original research.The search time limit was from the establishment of the database to August 2020.The quality of the literature was evaluated by the suitable evaluated tool based on their types.The level and recommedation grade of the evidence were appraised by the suitable tools of JBI.Results A total of 13 articles were finally included.Twenty best evidences were summarized,including three aspects of monitoring content,monitoring timing,and monitoring tools.Conclusions The research summarized the best evidence for pediatric sedation monitoring,and provided evidence-based references for clinical practice and standard formulation.Most of the evidence was form foreign resource.It is suggested that clinical departments or institutions should fully consider the clinical situation.At the same time,high-quality randomized controlled trials should be conducted one step further.
作者
张婉莹
董丽
戴燕红
金花
卢芳燕
Zhang Wanying;Dong Li;Dai Yanhong;Jin Hua;Lu Fangyan(Hepatopancreatobiliary Surgery Department of the First Affiliated Hospital,College of Medicine,Zhejiang University,Hangzhou 310003,China)
出处
《中国实用护理杂志》
2021年第35期2763-2769,共7页
Chinese Journal of Practical Nursing
基金
浙江省卫生健康科技计划项目(2021KY690)。
关键词
儿童
镇静
药物监测
循证护理
Child
Sedation
Drug monitoring
Evidence-based nursing
