儿童压力损伤风险评估工具:系统性审查
Faustine Dessi1, Julien Valeille2, Pascale Beloni2,1,3
1Inserm U1094, IRD U270, Univ. Limoges, CHU Limoges, EpiMaCT - Epidemiology of chronic diseases in tropical zone, Institute of Epidemiology and Tropical Neurology, OmegaHealth, Limoges, France.
International journal of nursing studies advances
|January 16, 2026
概括
这次系统性审查评估了儿科压力损伤风险评估工具. 布拉登QD,布拉登Q和格拉莫根尺度表现有希望,特别是在重症监护中,但没有一种工具适合所有儿科设置.
科学领域:
- 儿科护理 儿科护理
- 临床风险评估临床风险评估
- 患者安全 患者安全
背景情况:
- 儿童的压力伤害增加了发病率和死亡率.
- 有效的风险评估工具至关重要,但在儿科适用性方面存在差异.
- 目前的工具需要对不同儿科群体进行评估.
研究的目的:
- 识别和评估儿科压力损伤风险评估工具.
- 专注于工具特性,验证,可靠性和适用性.
- 在各种儿科临床环境中评估工具.
主要方法:
- 根据"科克莱恩手册",进行系统审查 (PROSPERO:CRD42024527687).
- 从2010年到2024年搜索了五个数据库 (PubMed,学者,CINAHL,科学网,Embase).
- 包括关于儿童压力损伤风险评估工具的开发,使用或验证的研究;使用QUADAS-2,QAREL和COSMIN评估质量.
主要成果:
- 来自15个国家的28项研究符合标准,重点关注重症监护,一般和手术单位.
- 确定了十种风险评估工具,包括布拉登Q,布拉登QD和格拉莫根尺度.
- 布雷登QD被评价最多;其他像儿科压力预测和评估工具被适用于儿科/新生儿使用.
结论:
- 所有工具都显示出可接受的有效性和可靠性,但没有一个是普遍适用的.
- 布拉登QD,布拉登Q和格拉莫根尺度是全面的,特别是在ICU.
- 需要进一步的研究来提高儿科设置的准确性和适应性.
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