Summary of the best evidence for measuring intra-abdominal pressure in adult emergency and critically ill patients
10.3760/cma.j.cn115682-20220513-02320
- VernacularTitle:成人急危重症患者腹内压测量的最佳证据总结
- Author:
Hui YANG
1
;
Hui MA
;
Di JIANG
;
Hongjuan CAI
;
Ping LIU
;
Jing CAI
;
Ying XIA
Author Information
1. 中国医学科学院北京协和医院内科ICU，北京 100730
- Keywords:
Adult;
Emergency and critically ill patients;
Evidence-based nursing;
Intra-abdominal pressure;
Measurement;
Operation
- From:
Chinese Journal of Modern Nursing
2023;29(4):458-463
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrieve, evaluate and integrate the best evidence of the operation related to the measurement of intra-abdominal pressure by bladder pressure sensor in adult emergency and critically ill patients.Methods:The "6S" pyramid model was used to retrieve the evidence of internal abdominal pressure measurement at home and abroad, including guidelines, best practices, evidence summary, systematic evaluation, expert consensus and so on. The retrieval time limit was from the establishment of the database to February 12, 2022. Two researchers independently evaluated the quality of the article, extracted data from the included article and graded the evidence according to Joanna Briggs Institute (JBI) evidence pre-grading system (2014 version) .Results:A total of 9 articles were included, including 1 clinical decision, 4 guidelines, 1 expert consensus and 3 quasi-experimental studies. A total of 23 pieces of best evidence were summarized from 10 aspects, including starting time, precautions, patient position, elimination of interference factors, infection control, zero calibration and measurement, data reading, monitoring frequency, equipment management, personnel education and training.Conclusions:This study integrates the best evidence of the operation related to the measurement of intra-abdominal pressure by bladder pressure sensor in adult emergency and critically ill patients, and provides evidence-based basis for standardizing clinical practice and accurately measuring intra-abdominal pressure in adult emergency and critically ill patients.
