Summary of the best evidence in prevention and management of center venous catheter dysfunction in hemodialysis patients
10.3760/cma.j.cn115682-20230509-01816
- VernacularTitle:血液透析患者中心静脉导管功能不良预防及处理的最佳证据总结
- Author:
Luxia WEI
1
;
Yuling LI
;
Guang ZHANG
;
Yufen ZHAO
;
Wenfang ZHAO
Author Information
1. 山西医科大学护理学院，太原 030001
- Keywords:
Hemodialysis;
Center venous catheter;
Catheter dysfunction;
Prevention;
Summary of evidence
- From:
Chinese Journal of Modern Nursing
2024;30(2):215-221
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrieve, summarize, evaluate and integrate the best evidence for the prevention and management of center venous catheter dysfunction in hemodialysis patients.Methods:The relevant literature on prevention of center venous catheter dysfunction in hemodialysis patients was systematically searched in UpToDate, BMJ Best Practice, Cochrane Library, National Guideline Clearinghouse, Guidelines International Network, National Kidney Foundation, PubMed, CNKI and other databases, including guidelines, clinical decision-making, evidence summary, systematic evaluation and expert consensus. The search period was from January 1st, 2013 to March 1st, 2023. Two researchers independently evaluated the quality of the literature, evaluated the quality of the included literature and extracted evidence.Results:A total of 15 articles were included, including three guidelines, three clinical decision-making, five expert consensus, two systematic evaluations, one evidence summary and one government document. Ultimately, seven themes and 32 best evidence were formed, including personnel training and management, evaluation and monitoring, catheter insertion, catheter maintenance, drug prevention, catheter dysfunction management and health education.Conclusions:This study summarizes the best evidence for the prevention and management of center venous catheter dysfunction in hemodialysis patients. Medical staff can choose and apply this evidence-based basis based on clinical situations and patient preferences, thereby reducing the incidence of catheter dysfunction.
