中枢静脉接入装置的临床试验:证据和差距地图
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
概括
中枢静脉接入装置的研究主要集中在插入和感染预防上. 在设备选择,移除,患者报告的结果和成本效益方面存在差距,影响护理实践和患者护理.
科学领域:
- 医学研究
- 护理科学
- 证据综合
背景情况:
- 中枢静脉接入装置 (CVAD) 在患者护理中至关重要.
- 需要对CVAD研究进行证据映射,以确定实践上的差距.
- 必须对2014-2024年的CVAD文献进行全面审查.
研究的目的:
- 从2014年到2024年系统地绘制中央静脉接入装置 (CVAD) 干预和结果的研究格局.
- 确定CVAD研究中的关键证据缺口,影响护理实践和患者的结果.
- 分析设备的整个生命周期,从选择到移除.
主要方法:
- 根据坎贝尔证据和差距地图指导和PRISMA-ScR指导方针进行系统审查.
- 通过手动搜索搜索了PubMed,CINAHL,Scopus和Cochrane的控制试验中心注册表.
- 在2014-2024年间发布的710项研究,按设计,人口,环境,设备,干预和结果进行分类.
主要成果:
- 大多数研究 (n=710) 侧重于导管插入和感染预防.
- 研究主要集中在高收入国家,成人和住院患者.
- 没有研究设备的选择和移除,也没有研究患者报告的结果和成本效益.
结论:
- 目前的中央静脉接入装置研究主要针对插入和感染预防.
- 在设备选择,移除,患者报告的结果和成本方面的研究存在重大差距.
- 未来的研究必须针对这些缺乏支持的领域, 以加强基于证据的护理服务.
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