管理封闭的中央静脉接入装置的干预措施:一个总体审查
Jessica Elliott1,2, Linda Ng1,2, Carolyn Meredith3
1School of Nursing and Midwifery, University of Southern Queensland, Ipswich, QLD, Australia.
The journal of vascular access
|April 24, 2024
概括
患者教育改善了结果,并减少了中央静脉接入装置 (CVAD) 的闭塞. 需要进一步研究冲洗和锁定策略,以防止CVAD并发症.
科学领域:
- 医疗干预 医疗干预
- 临床护理 临床护理
- 证据综合 证据综合
背景情况:
- 中枢静脉接入装置 (CVAD) 对重症患者至关重要,但与并发症有关.
- 中心心血管阻塞在1-2年内影响了14%-36%的患者,这代表了一个持续的挑战.
- 对CVAD闭塞的有效管理策略对于改善患者护理至关重要.
研究的目的:
- 综合从系统审查中获得的证据,以管理中央静脉接入装置封闭的干预措施.
- 评估不同策略在预防,维持或管理CVAD通透性的有效性.
- 发现关于CVAD阻塞管理的当前研究中的差距.
主要方法:
- 采用了总体审查方法,搜索了五个医疗保健数据库.
- 包括2009年至2022年的出版物,重点关注CVAD通透性的干预措施.
- 从对278篇文章的初步搜索中确定了11个系统审查.
主要成果:
- 发现患者教育可以改善患者的治疗结果,并降低闭塞率.
- 有证据表明,教育干预措施在管理CVAD并发症方面是有效的.
- 需要对冲洗和锁定技术进行进一步的研究,以减少堵塞.
结论:
- 教育是改善患者结果和降低中央静脉接入装置封闭率的关键因素.
- 目前的证据支持教育在有效管理CVAD方面的作用.
- 需要进行额外的研究,以优化冲洗和锁定协议,以防止CVAD闭塞.
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