成人患者经膀胱腹内压测量的最佳证据总结

doi:10.3761/j.issn.2096-7446.2023.10.015

摘要/Abstract

摘要： 目的检索、评价并总结经膀胱腹内压测量的最佳证据。方法按照循证资源“6S”模型自上而下的原则,系统检索国内外文献数据库及网站中关于经膀胱腹内压测量的所有证据,包括指南、证据总结、临床决策、系统评价、专家共识及原始研究等,检索时限为建库至2022年12月31日。由2名具备系统循证培训经历的研究者独立对文献资料进行质量评价和内容提取,并结合专业判断,进行证据汇总。结果共纳入17篇文献,其中指南4篇、专家共识2篇,系统评价1篇、推荐实践2篇、证据总结4篇、横断面研究1篇、诊断性试验3篇。总结的最佳证据包括测量途径、测量时机、测量方法、测量工具、影响因素、人员培训6个方面的21条推荐意见。结论该研究对经膀胱腹内压测量的最佳证据进行总结,为医护人员提供循证依据,建议临床应用时可根据临床具体情景,以科学提高临床腹内压测量的准确性和规范性。

关键词: 腹内压, 膀胱压, 证据总结, 循证护理学

Abstract: Objective To search,evaluate and summarize the best evidence of intravesical measurement techniques of intra-abdominal pressure in adult patients. Methods According to the "6S" pyramid model,a systematic search of domestic and foreign databases and websites was conducted on intravesical measurement techniques of intra-abdominal pressure for adult patients,including guidelines,evidence summaries,clinical decision,systematic reviews,expert consensuses. The timeframe of data search ran from the inception of the database to December 31,2022. Two trained researchers in systematic evidence-based knowledge evaluated the quality of the literature and extracted data independently,and summarized the evidence combined with professional judgment. Results A total of 17 articles were enrolled,including 4 guidelines,2 expert consensuses,1 systematic review,2 recommended practice,4 evidence summaries,1 cross-sectional study,3 diagnostic tests. Finally,21 items of best evidence were synthesized into 6 categories including measurement approach,measurement timing,measurement methods,measurement tools,interference factors,and personnel training. Conclusion This study summarized the best evidence of intravesical measurement techniques of intra-abdominal pressure,which provided evidence-based information for healthcare professionals. It is suggested that clinical application can be tailored according to specific clinical scenarios,to improve the accuracy and standardization of clinical measurement of intra-abdominal pressure.

Key words: Intra-Abdominal Pressure, Urinary Bladder Pressure, Evidence Summary, Evidence-Based Nursing

郝桂华, 李幼生, 王鹏飞, 顾芬, 戴静静, 侯黎莉. 成人患者经膀胱腹内压测量的最佳证据总结[J]. 中华急危重症护理杂志, 2023, 4(10): 936-942.

HAO Guihua, LI Yousheng, WANG Pengfei, GU Fen, DAI Jingjing, HOU Lili. Summary of best evidence for intra-abdominal pressure measurement by the intravesical route[J]. Chinese Journal of Emergency and Critical Care Nursing, 2023, 4(10): 936-942.

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