CAJ | 학술논문

目的：综合评价循证护理对减少或预防患者经外周静脉置入中心静脉导管（PICC ）置管并发症发生的应用效果。方法计算机检索中国知网、万方数据库、中国生物医学文献数据库、VIP资源，Pubmed数据库，收集国内外应用循证护理的方法减少或预防PICC置管并发症的随机对照研究，采用RevM an 5．0软件对符合纳入标准的随机对照研究进行M eta分析。结果共纳入17个随机对照研究，3092例研究对象。研究结果显示，循证护理组患者PICC置管并发症（静脉炎、穿刺点感染、导管脱出或异位及导管堵塞）发生率明显低于对照组（P＜0．05）。结论循证护理可有效减少或预防PICC置管并发症的发生，提高护理质量的同时改善PICC置管患者生活质量，值得在临床上推广应用。
목적：종합평개순증호리대감소혹예방환자경외주정맥치입중심정맥도관（PICC ）치관병발증발생적응용효과。방법계산궤검색중국지망、만방수거고、중국생물의학문헌수거고、VIP자원，Pubmed수거고，수집국내외응용순증호리적방법감소혹예방PICC치관병발증적수궤대조연구，채용RevM an 5．0연건대부합납입표준적수궤대조연구진행M eta분석。결과공납입17개수궤대조연구，3092례연구대상。연구결과현시，순증호리조환자PICC치관병발증（정맥염、천자점감염、도관탈출혹이위급도관도새）발생솔명현저우대조조（P＜0．05）。결론순증호리가유효감소혹예방PICC치관병발증적발생，제고호리질량적동시개선PICC치관환자생활질량，치득재림상상추엄응용。
Objective To evaluate the effect of evidence based nursing on the prevention of the complications of PICC .Meth‐ods The randomised controlled trials (RCT) on the evidence based nursing in reducing or preventing the complications of patients with PICC were collected using the databases of PubMed ,CNKI ,WanFang ,CBM and VIP;the data were analyzed by RevMan5 .0 software .Results 17 studies involving 3 092 patients were included in total .The results of Meta analyses showed that compared with the control group ,the complication (Phlebitis ,puncture point infection ,catheter prolapse or ectopic and catheter obstruction) rates of evidence based nursing group with PICC were lower (P<0 .05) than that of the control group .Conclusion Evidence based nursing can effectively prevent the complication of PICC ,improve the quality of nursing and worth of clinical application .