《成人经鼻高流量氧疗护理规范》团体标准解读

doi:10.3761/j.issn.2096-7446.2023.02.008

中华急危重症护理杂志 ›› 2023, Vol. 4 ›› Issue (2): 136-139.doi: 10.3761/j.issn.2096-7446.2023.02.008

《成人经鼻高流量氧疗护理规范》团体标准解读

齐晓玖, 吴欣娟, 高艳红, 张智霞, 兰美娟, 郭淑明, 张会芝, 鲜于云艳, 刘宇, 曹青, 张洪君, 黄铮, 董凡, 唐丽安, 张素

100730 北京市北京医院护理部（齐晓玖,董凡）; 北京协和医院护理部（吴欣娟）; 解放军总医院第三医学中心护理部（高艳红）; 临汾市中心医院（张智霞,郭淑明）; 浙江大学医学院附属第二医院护理部（兰美娟）; 北京大学第三医院护理部（张会芝,张洪君）; 武汉大学人民医院护理部（鲜于云艳）; 中国医科大学护理学院社区护理教研室（刘宇）; 华中科技大学同济医学院附属协和医院心内科（曹青）; 郑州大学第一医院心血管中心（黄峥）; 广西医科大学第一附属医院呼吸与危重症医学科（唐丽安）; 北京大学人民医院呼吸与危重症医学科（张素）

收稿日期:2022-12-30 出版日期:2023-02-10 发布日期:2023-02-09
通讯作者: 张素,E-mail：zhangsu3702@sina.com
作者简介:齐晓玖：女,硕士,副主任护师,科护士长,E-mail：xiaojiu77@163.com

Interpretation for nursing standard of high flow nasal cannula oxygen for adults

QI Xiaojiu, WU Xinjuan, GAO Yanhong, ZHANG Zhixia, LAN Meijuan, GUO Shuming, ZHANG Huizhi, XIANYU Yunyan, LIU Yu, CAO Qing, ZHANG Hongjun, HUANG Zheng, DONG Fan, TANG Li’an, ZHANG Su

Received:2022-12-30 Online:2023-02-10 Published:2023-02-09

摘要/Abstract

摘要： 经鼻高流量氧疗因具备维持气道黏膜正常功能、减少解剖无效腔、提供高流量的加温、加湿气体并提供一定的通气支持的功能,在我国已广泛应用。目前,我国尚无明确的便于护理人员使用的指导性文件。因此,北京医院联合全国其他11所医院撰写《成人经鼻高流量氧疗护理规范（T/CRHA 015—2023）》中国研究型医院学会团体标准,提出了护理成人经鼻高流量氧疗患者的基本要求,以及评估、操作、感染控制方法。该文针对标准中的重要组成部分、条目的提出进行详细地解释,便于使用者理解,促进经鼻高流量氧疗规范地实践。

关键词: 成年人, 经鼻高流量氧疗, 护理标准, 标准解读

Abstract: High flow nasal cannula oxygen therapy has been widely used in China due to its ability to maintain the normal function of airway mucous,reduce physiological dead space,provide high-flow warm and humidified gas and provide certain ventilation support. At present,there is no clear guidance document for nursing staff in China. Beijing Hospital and other 11 hospitals have formulated the “Nursing Standard for High Flow Nasal Cannula Oxygen in Adults（T/CRHA 015-2023）”,a group standard of the Chinese Research Hospital Association,which provides the basic requirements,assessment,operation and infection control methods for caring adult patients with nasal high flow oxygen therapy. The present article is interpreting some items concerning the each part of standard to help the users understand the standard and promote the normative practice of high flow nasal cannula oxygen therapy.

Key words: Adult, High Flow Nasal Cannula Oxygen, Standard of Care, Standard Interpretation

齐晓玖, 吴欣娟, 高艳红, 张智霞, 兰美娟, 郭淑明, 张会芝, 鲜于云艳, 刘宇, 曹青, 张洪君, 黄铮, 董凡, 唐丽安, 张素. 《成人经鼻高流量氧疗护理规范》团体标准解读[J]. 中华急危重症护理杂志, 2023, 4(2): 136-139.

QI Xiaojiu, WU Xinjuan, GAO Yanhong, ZHANG Zhixia, LAN Meijuan, GUO Shuming, ZHANG Huizhi, XIANYU Yunyan, LIU Yu, CAO Qing, ZHANG Hongjun, HUANG Zheng, DONG Fan, TANG Li’an, ZHANG Su. Interpretation for nursing standard of high flow nasal cannula oxygen for adults[J]. Chinese Journal of Emergency and Critical Care Nursing, 2023, 4(2): 136-139.

参考文献

[1] Nishimura M.High-flow nasal cannula oxygen therapy devices[J]. Respir Care,2019,64(6):735-742.
[2] Drake MG.High-flow nasal cannula oxygen in adults:an evidence-based assessment[J]. Ann Am Thorac Soc,2018,15(2):145-155.
[3] 倪忠,秦浩,李洁,等. 新型冠状病毒肺炎患者经鼻高流量氧疗使用管理专家共识[J]. 中国呼吸与危重监护杂志,2020,19(2):110-115.
Ni Z,Qin H,Li J,et al.Expert consensus on management of high-flow nasal canula oxygen therapy in patients with coronavirus disease 2019[J]. Chin J Respir Crit Care Med,2020,19(2):110-115.
[4] 中华医学会呼吸病学分会呼吸危重症医学学组,中国医师协会呼吸医师分会危重症医学工作委员会,解立新,等. 成人经鼻高流量湿化氧疗临床规范应用专家共识[J]. 中华结核和呼吸杂志,2019,42(2):83-91.
Respiratory Critical Care Group of Respiratory Branch of Chinese Medical Association,Critical Care Medicine Committee of Respiratory Branch of Chinese Medical Doctor Association,Xie LX,et al. Expert consensus of high-flow nasal cannula oxygen therapy on clinical application regularity[J]. Chin J Tu-berc Respir Dis,2019,42(2):83-91.
[5] 中国医师协会急诊医师分会,中华医学会急诊医学分会,中国急诊专科医联体北京急诊医学学会. 急诊成人经鼻高流量氧疗临床应用专家共识[J]. 中华急诊医学杂志,2021,30(9): 1041-1050.
Emergency Medicine Branch of Chinese Medical Doctor Association,Chinese Medical Association,Chinese Emergency Me-dicine Partnership,Beijing Society of Emergency Medicine.Expert concensus of using high flow nasal cannulae oxygen in emergency room[J]. Chin Emerg Med J,2021,30(9):1041-1050.
[6] Nishimura M.High-flow nasal cannula oxygen therapy in adu-lts:physiological benefits,indication,clinical benefits,and adverse effects[J]. Respir Care,2016,61(4):529-541.
[7] 张素,吴欣娟,齐晓玖. 成人氧气吸入疗法护理实践指南[J]. 中华护理杂志,2019,54(z):5-24.
Zhang S,Wu XJ,Qi XJ.Nursing practice guideline for the oxygen inhalation therapy in adult[J]. Chin J Nurs,2019,54(z):5-24.
[8] Plotnikow GA,Accoce M,Navarro E,et al.Humidification and heating of inhaled gas in patients with artificial airway. A narrative review[J]. Rev Bras Ter Intensiva,2018,30(1):86-97.
[9] Agarwal A,Basmaji J,Muttalib F,et al.High-flow nasal cannula for acute hypoxemic respiratory failure in patients with COVID-19:systematic reviews of effectiveness and its risks of aerosolization,dispersion,and infection transmission[J]. J Can D'anesthesie,2020,67(9):1217-1248.
[10] 国家卫生和计划生育委员会. 重症监护病房医院感染预防与控制规范:WS/T509—2016[S]. 北京:中国标准出版社,2016.
National Health and Family Planning Commission. Standard for prevention and control of nosocomial infection in intensive care unit:WS/T509—2016[S]. Beijing:Standards Press of China,2016.
[11] Blakeman TC,Scott JB,Yoder MA,et al.AARC clinical practice guidelines:artificial airway suctioning[J]. Respir Care,2022,67(2):258-271.
[12] Al Ashry HS,Modrykamien AM.Humidification during mechanical ventilation in the adult patient[J]. Biomed Res Int,2014,2014:715434.
[13] Frat JP,Coudroy R,Thille AW.Non-invasive ventilation or high-flow oxygen therapy:when to choose one over the other?[J]. Respirology,2019,24(8):724-731.
[14] Granton D,Chaudhuri D,Wang D,et al.High-flow nasal cannula compared with conventional oxygen therapy or noninvasive ventilation immediately postextubation:a systematic review and meta-analysis[J]. Crit Care Med,2020,48(11):e1129-e1136.
[15] Wang J,Lee KP,Chong SL,et al.High flow nasal cannula in the emergency department:indications,safety and effectiveness[J]. Expert Rev Med Devices,2018,15(12):929-935.

《成人经鼻高流量氧疗护理规范》团体标准解读

Interpretation for nursing standard of high flow nasal cannula oxygen for adults

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