| 李明淑,金焰.成人中线导管感染预防及护理的证据总结[J].上海护理,2026,26(1): |
| 成人中线导管感染预防及护理的证据总结 |
| Summary of Evidence on Prevention and Nursing of Adult Midline Catheter InfectionLi Mingshu , Jin Yan |
| 投稿时间：2025-01-18 修订日期：2026-01-09 |
| DOI： |
| 中文关键词: 中线导管 感染 导管维护 循证护理 |
| 英文关键词: |
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| 中文摘要: |
| 目的 汇总成人中线导管感染预防及护理的最佳证据,为临床护理提供循证依据。方法 在构建循证护理问题的基础上,按照“6s”金字塔模型自上而下检索国内外相关数据库及专业学会网站中关于成年患者中线导管感染预防与护理的文献,检索时间为2013年1月至2023年11月。由2名具备循证护理资格的研究人员独立进行文献质量评价和证据提取工作,并联合医院静脉治疗专家最终完成证据汇总。结果 共纳入文献11篇,包括临床决策1篇、指南4篇,专家共识3篇,系统评价1篇,证据总结1篇,随机对照试验1篇。从导管置入、导管维护、导管固定、输液管理、风险评估、导管拔除、团队支持、教育培训8个维度总结了33条证据。结论 成人中线导管感染预防及护理的证据总结可以为临床医护人员降低中线导管感染率提供循证依据,建议医护人员在结合医疗环境和尊重患者意愿的前提下选择最佳证据,以保障患者输液安全。 |
| 英文摘要: |
| objective To summarize the best evidence for the prevention and care of midline catheter infection in adults, and provide evidence-based basis for clinical nursing. Methods On the basis of constructing evidence-based nursing problems, literature on the prevention and care of midline catheter infections in adult patients was searched from domestic and foreign databases and professional association websites from top to bottom using the "6s" pyramid model. The search period was from January 2013 to November 2023. Two researchers with evidence-based nursing qualifications independently conducted literature quality evaluation and evidence extraction, and collaborated with hospital intravenous therapy experts to ultimately complete the evidence summary. Results A total of 11 articles were included, including 1 clinical decision, 4 guidelines, 3 expert consensus, 1 systematic evaluation, 1 evidence summary, and 1 randomized controlled trial. 33 pieces of evidence were summarized from 8 dimensions: catheter insertion, catheter maintenance, catheter fixation, infusion management, risk assessment, catheter removal, team support, and education and training. Conclusion: The summary of evidence on the prevention and care of midline catheter infection in adults can provide evidence-based evidence for clinical medical staff to reduce midline catheter infection rates. It is recommended that medical staff choose the best evidence while considering the medical environment and respecting patient wishes to ensure patient infusion safety. |
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