摘要
目的评价并总结颅内动脉瘤破裂出血患者血压管理策略的相关证据,为临床护理工作提供参考,以改善患者预后。方法使用计算机检索建库至2020年12月8日BMJ Best Practice、UpToDate、中国指南网、Cochrane Library、PubMed、American Stroke Association、中国知网、万方数据库、维普数据库关于颅内动脉瘤破裂出血患者血压管理策略所有证据,包括指南、证据总结、最佳临床实践信息册、推荐实践、系统评价及原始研究。先对纳入的文献质量进行评价,然后对符合质量标准的文献进行证据提取。结果共纳入9篇文献,总结出20条临床适用性证据,涉及颅内动脉瘤破裂出血患者的临床评估、管理原则、干预方案、并发症预防护理方面。结论建议临床应用证据时,评估患者的年龄、基础疾病、药物耐受性等个体差异,以科学的护理方法管理颅内动脉瘤破裂出血患者的血压问题,从而提升护理质量。
Objective To estimate and summarize the evidence for the blood pressure in patients with ruptured intracranial aneurysm bleeding,to provide valuable reference for clinical care and improve the prognosis of patients.Methods BMJ Best Practice,UpToDate,Chinese Guideline Website,Cochrane Library,PubMed,American Stroke Association,Chinese National Knowledge Infrastructure,Wanfang Database and VIP Database were utilized for screening out evidences of blood pressure management strategies for patients with ruptured intracranial aneurysm bleeding from database establishment to December 8,2020.The source of evidences included guidelines,evidence summarization,information brochure of optimal clinical practice,recommended practice,systematic review and original research.Upon the assessment of the included literature,the evidences meeting the enrollment criterion would be identified and extracted.Results There were 9 articles involved in this research and 20 evidences possessing clinical applicability were extracted.The evidences involved in clinical assessment,regulation tenets,intervention protocol,and nursing to prevent complications in patients with ruptured intracranial aneurysm bleeding.Conclusions To summarize,we suggested strongly to evaluate the individual differences in age,underlying diseases and pharmacological tolerance,and to effectivelly control blood pressure in patients with ruptured intracranial aneurysm bleeding through scientific nursing methods,which could improve the nursing qualification.
作者
张丽华
田丹英
欧阳燕
杨中善
余鹏
Zhang Lihua;Tian Danying;Ouyang Yan;Yang Zhongshan;Yu Peng(Department of Neurosurgery,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430014,China)
出处
《中国实用护理杂志》
2022年第16期1255-1261,共7页
Chinese Journal of Practical Nursing
关键词
循证护理
颅内动脉瘤破裂出血
血压管理
血压控制
证据总结
Evidence-based care
Ruptured intracranial aneurysm bleeding
Blood pressure management
Blood pressure control
Evidence summarization
