Best evidence summary for prevention of pressure injury in adult patients with acute respiratory distress syndrome and mechanical ventilation in prone position
10.3760/cma.j.cn115682-20210429-01877
- VernacularTitle:成人急性呼吸窘迫综合征俯卧位机械通气患者压力性损伤预防的最佳证据总结
- Author:
Xiao YUAN
1
;
Xiangying YANG
;
Qingqing WU
;
Wei ZHANG
;
Weiying DAI
;
Huan YAO
;
Guifang TANG
;
Yu LEI
Author Information
1. 浙江大学医学院附属杭州市第一人民医院肝胆外科 310006
- Keywords:
Respiratory distress syndrome, adult;
Prone position;
Mechanical ventilation;
Pressure injury;
Evidence summary
- From:
Chinese Journal of Modern Nursing
2021;27(30):4110-4115
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrieve, evaluate and summarize the evidence for the prevention of pressure injury in adult patients with acute respiratory distress syndrome (ARDS) and mechanical ventilation in prone position, to provide a basis for clinical nurses in the management of pressure injury in patients with mechanical ventilation in the prone position of ARDS.Method:UpToDate, BMJ Best Practice, Guidelines International Network, National Guideline Clearinghouse, National Institute for Health and Clinical Excellence, Joanna Briggs Institute (JBI) Evidence-based Health Care Centre, Cochrane Library, Medlive, EMBASE, PubMed, BMJ, CNKI, Wanfang Database and SinoMed were systematically retrieved to search evidence on the prevention of pressure injury in adults with ARDS and mechanical ventilation in prone position, including clinical decision-making, guidelines, evidence summary, systematic evaluation, Meta-analysis, RCT and quasi-experimental studies. The search time limit was from December 1, 2010 to December 1, 2020. The literature quality was evaluated by 4 personnel, and the included literature was extracted and summarized by 2 personnel.Result:Finally, 7 articles were included, including 1 clinical decision, 3 guidelines, 2 RCTs and 1 quasi-experimental study. A total of 12 pieces of evidence were extracted from 5 aspects, such as evaluation, intervention measures, supervision, professional knowledge training of nursing staff and principles of prevention and compliance.Conclusions:The best evidence for the prevention of pressure injury in adult ARDS patients with prone mechanical ventilation summarized in this study is convenient for clinical nurses to conduct more targeted and scientific evaluation and care of pressure injury for patients.
