中枢静脈アクセス装置における臨床試験:証拠とギャップマップ
Mari Takashima1,2,3, Areum Hyun4, Tricia Kleidon1,2,5
1School of Nursing, Midwifery and Social Work, Faculty of Health and Behavioural Sciences, The University of Queensland, St Lucia, Queensland, Australia.
Journal of advanced nursing
|August 23, 2025
まとめ
中枢静脈へのアクセス装置の研究は,挿入と感染予防に重点を置いています. デバイスの選択,除去,患者による報告結果,費用対効果のギャップがあり,看護の実践と患者ケアに影響を与えています.
科学分野:
- 医学 研究
- 看護科学
- 証拠の統合
背景:
- 中枢静脈アクセス装置 (CVAD) は患者のケアにおいて極めて重要です.
- CVADの研究のエビデンスマッピングは,実践のギャップを特定するために必要です.
- 2014年から2024年までのCVADの文献の包括的なレビューは不可欠です.
研究 の 目的:
- 2014年から2024年までの中枢静脈アクセス装置 (CVAD) の介入と成果の研究状況を体系的にマッピングする.
- 介護の実践と患者の成果に影響を与えるCVAD研究における重要な証拠のギャップを特定する.
- 選択から取り除くまでのデバイスのライフサイクルを分析します.
主な方法:
- キャンベル・エビデンスとギャップ・マップのガイドラインとPRISMA-ScRのガイドラインに従って,体系的なレビューを行う.
- PubMed,CINAHL,Scopus,Cochrane 中央試験登録簿で 手動で検索しました
- 2014年から2024年の間に発表された710の研究をマッピングし,設計,集団,設定,装置,介入,結果によって分類しました.
主要な成果:
- 大半の研究 (n=710) は,カテーテル挿入と感染予防に焦点を当てた.
- 研究は,高所得国,成人,入院施設に集中した.
- 患者の報告した結果と費用対効果と同様に,デバイスの選択と除去は十分に研究されていません.
結論:
- 現在の中枢静脈アクセス装置の研究は,主に挿入と感染予防に取り組んでいます.
- デバイスの選択,除去,患者の報告した結果,およびコストに関する研究には大きなギャップがあります.
- 将来の研究は,証拠に基づいた看護のケアを強化するために,これらの不足している分野をターゲットにする必要があります.
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