在新生儿重症监护病房内与外围插入的中央导管相关的护理实践:范围审查
Eny Dorea1, Rebecca Leeson, Leslie Zimpelman
1Author Affiliations: Harris College of Nursing and Health Sciences, Texas Christian University, Fort Worth, Texas (Dr Dorea); Nursing Student, Harris College of Nursing and Health Sciences, Texas Christian University, Fort Worth, Texas (Leeson); Harris College of Nursing and Health Sciences, Texas Christian University, Fort Worth, Texas (Dr Zimpelman); Mary Couts Burnett Library, Texas Christian University, Fort Worth, Texas (Humphrey).
本综述探讨了新生儿重症监护室 (NICU) 中外置中央导管 (PICC) 的护理实践. 关键的发现包括超声导向安置,感染控制和疼痛管理策略,以改善婴儿的结果.
科学领域:
- 新生儿重症监护护理 新生儿重症监护护理
- 血管接入装置 血管接入装置
- 基于证据的实践.
背景情况:
- 外围插入的中央导管 (PICC) 对新生儿重症监护室 (NICU) 患者至关重要.
- 优化PICC护理实践对于改善婴儿安全和结果至关重要.
研究的目的:
- 进行与NICU中PICC相关的护理实践的范围审查.
- 确定新生儿PICC护理当前的实践,挑战和知识差距.
主要方法:
- 以人口概念背景 (PCC) 框架为指导的范围审查.
- 在 Embase,CENTRAL,PubMed,Scopus,Web of Science,CINAHL 和 MEDLINE 上进行全面的数据库搜索.
- 利用Covidence平台进行系统审查管理.
主要成果:
- 包括2008年至2024年间发表的27项研究.
- 超声指导显著提高PICC位置的准确性,并减少并发症.
- 识别的实践重点是预防感染,治疗疼痛和预防低温.
- 还探索了新的导管测量和插入技术.
结论:
- 目前NICU中的PICC实践强调安全性和改善患者的治疗结果.
- 这一审查为临床指南提供了信息,并促进了基于证据的新生儿护理护理.
- 强调需要未来的研究,以解决新生儿PICC管理中发现的知识差距.
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