用于在肠道衰竭中心进行腹腔营养和家庭腹腔营养的麻醉技术
Jane Fletcher1, Hardip Malhi2, Annie Topping3
1Consultant Nurse for Nutrition and Intestinal Failure, University Hospitals Birmingham NHS Foundation Trust, Birmingham; Honorary Associate Professor, Department of Nursing and Midwifery, College of Medicine and Health, University of Birmingham.
概括
在肠道营养/家庭肠道营养 (PN/HPN) 中无菌技术的实践在肠道衰竭中心之间有很大差异. 目前的程序缺乏强有力的证据基础,需要对改善和可持续的患者护理进行审查.
科学领域:
- 临床护理 临床护理
- 感染控制 感染控制
- 父母肠道营养是一种营养.
背景情况:
- 麻醉技术在腹腔营养/家庭腹腔营养 (PN/HPN) 管理中往往定义不佳.
- 传统的无菌和无菌方法经常被描述而没有明确的程序细节.
研究的目的:
- 在肠道衰竭中心确定PN/HPN管理的现有无菌程序.
- 评估支持这些专业中心现有做法的证据.
主要方法:
- 对PN/HPN管理程序的文献分析.
- 在英格兰NHS委托的肠衰竭中心通过电子邮件请求程序.
主要成果:
- 57%的响应率产生了16个分析文件.
- 技术各不相同 (无菌,无菌非接触,无菌无菌非接触或无名).
- 在81%的手术中使用了无菌手套,在94%的手术中建议使用无菌场,但中心擦洗时间通常未指明 (44%).
结论:
- 在肠道衰竭中心的PN/HPN施用无菌技术中存在显著的差异.
- 缺乏可靠的证据来支持当前的做法.
- 护士应该审查和更新程序,以确保它们是基于证据和环境可持续的.
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