对于住院老年人的外周静脉导管:一个范围审查
Naomi Howell1, Nicole Marsh2,3,4,5, Matt Mason1
1School of Health, University of the Sunshine Coast, Maroochydore, Queensland, Australia.
International journal of older people nursing
|October 31, 2025
概括
本综述强调了对老年人外围静脉导管的有限研究,需要进行更多的定性研究. 未来的研究应该专注于为这一群体提供以患者为中心的实践.
科学领域:
- 老年学是一门学科.
- 护理科学 护理科学
- 医疗程序 医疗程序
背景情况:
- 外周静脉导管插入是医疗保健中常见的一种侵入性手术.
- 老年人因与年龄相关的生理变化和慢性疾病而面临着与导管相关的并发症的独特挑战.
- 在住院的老年人中对外周静脉导管使用的现有研究是有限的,需要进行全面的审查.
研究的目的:
- 绘制有关外周静脉导管在住院老年人的使用现有的文献.
- 为了确定当前证据的特点,关于在这个人口群体中使用外周静脉导管.
- 突出这一领域未来研究的机会.
主要方法:
- 根据乔安娜·布里格斯研究所的方法进行了范围审查.
- 搜索包括主要的电子医疗数据库 (MEDLINE,CINAHL,PubMed,Scopus,Emcare) 和灰色文献.
- 包括2000年以来的出版物,重点是确定证据类型和关键主题.
主要成果:
- 分析了来自12个国家的30个来源,包括观察研究,实验研究,指南和评论.
- 确定的主要主题包括插入,并发症,临床医生实践,生理衰老和患者体验 (疼痛,满意度).
- 发现了显著的差距,包括"老年人"的各种定义,以及缺乏有关患者体验的定性证据.
结论:
- 尽管有现有证据,但仍然存在大量的知识差距,特别是在理解患者体验方面.
- 文献中以小规模的观察性研究为主,这表明需要更强大的实验研究.
- 未来的研究应该整合定量和定性方法,为住院老年人开发以患者为中心,基于证据的实践.
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