CAJ | 학술논문

[目的]汇集并总结成人鼻胃管成功留置判断方法,从而促进临床护理实践的科学性、统一性和规范性。[方法]检索 OVID JBI、Cochrane 图书馆、BEST PRACTICE、RNAO、EBSCO 循证护理学数据库、PubMed 以及中国生物医学文献数据库(CBM),检索时间从创建到2014年1月21日公开发表的关于成人鼻胃管判断方法的临床实践指南、证据总结、最佳实践、系统评价、集束化措施。由3位评价者单独进行文献的筛除、质量评价和数据提取,并交叉核对。[结果]共纳入9篇文献,其中3篇证据汇总、2篇指南、2篇系统评价、1篇 Meta 分析、1篇专家意见。汇总出6种判断方法并给予证据等级。[结论]最合适的成人鼻胃管成功留置判断方法是 pH 试纸测定抽出物的 pH 值,X 射线作为判断的金标准,可以降低误判发生率,提高一次置管成功率。
[목적]회집병총결성인비위관성공류치판단방법,종이촉진림상호리실천적과학성、통일성화규범성。[방법]검색 OVID JBI、Cochrane 도서관、BEST PRACTICE、RNAO、EBSCO 순증호이학수거고、PubMed 이급중국생물의학문헌수거고(CBM),검색시간종창건도2014년1월21일공개발표적관우성인비위관판단방법적림상실천지남、증거총결、최가실천、계통평개、집속화조시。유3위평개자단독진행문헌적사제、질량평개화수거제취,병교차핵대。[결과]공납입9편문헌,기중3편증거회총、2편지남、2편계통평개、1편 Meta 분석、1편전가의견。회총출6충판단방법병급여증거등급。[결론]최합괄적성인비위관성공류치판단방법시 pH 시지측정추출물적 pH 치,X 사선작위판단적금표준,가이강저오판발생솔,제고일차치관성공솔。
Objective:To collect and summarize the judging methods of successful indwelling of nasogastric tube for adults,so as to promote the science,unify and standardization of clinical nursing practice.Methods:We searched OVID JBI,Cochrane library,BEST PRACTICE,RNAO,EBSCO CINAHL,PubMed and CBM.The retrieved content included the clinical practice guidelines,the evidence summarized,recommended practice,sys-tematic reviews and cluster measures of nasogastric tube judging methods for adult that published from the es-tablish to Jan 21,2014.At last three reviewers independently screened the literatures,evaluated the quality and extracted the data from the literatures,and had a cross check to confirm accuracy.Results:We identified 9 liter-atures,which included 3evidence summary,two guidance,2 systematic reviews,1 meta analysis and 1 expert o-pinion.We summarized six judging methods and gave each the level of evidence.Conclusion:The most appropri-ate judging method of successful indwelling of nasogastric tube for adults is determining the pH value of the ex-traction by using pH test paper and regarding the X ray as the gold judgement standard.That method can re-duce the incidence of miscarriage of justice,improve the success rate of catheterization and reduce the patients’ pain with repeated catheterization.