[1]宋春霞,张玉曼,郑晓丽,等.心搏骤停患者目标体温管理指南的质量评价[J].军事护理,2021,38(09):49-52.[doi:10.3969/j.issn.1008-9993.2021.09.012]
　SONG Chunxia,ZHANG Yuman,ZHENG Xiaoli,et al.Quality Appraisal of Targeted Temperature Management Guidelines for Patients with Cardiac Arrest[J].Nursing Journal Of Chinese People's Laberation Army,2021,38(09):49-52.[doi:10.3969/j.issn.1008-9993.2021.09.012]
点击复制

心搏骤停患者目标体温管理指南的质量评价
分享到：

《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
38
期数:
2021年09期
页码:
49-52
栏目:
循证护理
出版日期:
2021-09-15

文章信息/Info

Title:
Quality Appraisal of Targeted Temperature Management Guidelines for Patients with Cardiac Arrest
文章编号:
1008-9993(2021)09-0049-05
作者:
宋春霞; 张玉曼; 郑晓丽; 杨丽娟; 马超群; 张亭; 孔冬
(山东第一医科大学附属省立医院,山东 济南 250021)
Author(s):
SONG Chunxia; ZHANG Yuman; ZHENG Xiaoli; YANG Lijuan; MA Chaoqun; ZHANG Ting; KONG Dong
(Shandong Provincial Hospital Affiliated to Shandong First Medical University,Ji'nan 250021,Shandong Province,China)
关键词:
心搏骤停;  心肺复苏;  目标体温管理;  指南;  质量评价
Keywords:
cardiac arrest;  cardiopulmonary resuscitation;  targeted temperature management;  guideline;  quality appraisal
分类号:
R472.2
DOI:
10.3969/j.issn.1008-9993.2021.09.012
文献标志码:
A
摘要:
目的 系统评价国内外心搏骤停患者目标体温管理相关指南的质量,分析各指南的特点,为临床进行基于证据的目标体温管理提供参考。方法 系统检索专业学会网站、临床实践指南网站、数据库的心搏骤停患者目标体温管理的相关指南,检索日期自建库至2019年12月30日。采用AGREE II 对纳入的指南进行质量评价。结果 共筛选出国外6篇相关循证指南,经AGREE II评价的6个领域标准化评分均值分别为:范围与目的97.2%,参与人员43.4%,严谨性63.7%,清晰性84.4%,应用性30.1%和独立性88.1%。6篇指南总体质量评价为1篇A级,5篇B级。结论 心搏骤停患者目标体温管理循证指南的整体质量有待提高,部分指南在应用性领域仍有待完善,经过本土化后可以作为我国临床工作的循证证据。
Abstract:
Objective To systematically evaluate the quality of guidelines on targeted temperature management for cardiac arrest patients at home and abroad,and analyze the characteristics of each guideline,so as to provide reference for clinical evidence-based targeted temperature management.Methods Guidelines on targeted temperature management for cardiac arrest patients were systematically retrieved on the websites of the professional associations,the clinical practice guideline networks and databases.Guidelines published from the date of setting up the database to December 30,2019 were searched.The AGREE II was used to evaluate the quality of the included guidelines.Results Six foreign evidence-based guidelines were included.The average standardized scores of the 6 domains of AGREE II were 97.2%(scope and purpose),43.4%(stakeholder involvement),63.7%(rigor of development),84.4%(clarity of presentations),30.1%(applicability),and 88.1%(independence).Considering the overall quality of the 6 guidelines,1 guideline was evaluated with A class and 5 guidelines with B class.Conclusions The overall quality of evidence-based guidelines on targeted temperature management for cardiac arrest patients needs to be improved.Some guidelines should be improved in their applicability.Localized guidelines can be used as evidence for clinical work in our country.

参考文献/References:

[1] American Heart Association.Web-based integrated guidelines for cardiopulmonary resuscitation and emergency cardiovascular care – part 8:post-cardiac arrest care.[EB/OL].(2015-11-09)[2021-02-26].https://eccguidelines.heart.org/index.php/circulation/cpr-ecc-guidelines-2/part-8-post-cardiac-arrest-care/.
[2] 崔英杰,秦历杰.心脏骤停患者院前亚低温治疗的荟萃分析[J].中华急诊医学杂志,2015,24(11):1274-1278.
[3] 胡雁,郝玉芳.循证护理学[M].2版.北京:人民卫生出版社,2018:212-216.
[4] 乔舰.组内相关系数的理论基础及建模应用[J].统计与信息论坛,2016,31(11):44-48.
[5] CARIOU A,PAYEN J F,ASEHNOUNE K,et al.Targeted temperature management in the ICU:guidelines from a French expert panel[J].Ann Intensive Care,2017,7(1):70.
[6] GEOCADIN R G,WIJDICKS E,ARMSTRONG M J,et al.Practice guideline summary:reducing brain injury following cardiopulmonary resuscitation:report of the Guideline Development,Dissemination,and Implementation Subcommittee of the American Academy of Neurology[J].Neurology,2017,88(22):2141-2149.
[7] ARC.ANZCOR Guideline 11.8 – targeted temperature management(TTM)after cardiac arrest[EB/OL].(2016-01)[2021-02-26].https://resus.org.au/guidelines/.
[8] HOWES D,GRAY S H,BROOKS S C,et al.Canadian Guidelines for the use of targeted temperature management(therapeutic hypothermia)after cardiac arrest:a joint statement from The Canadian Critical Care Society(CCCS),Canadian Neurocritical Care Society(CNCCS),and the Canadian Critical Care Trials Group(CCCTG)[J].Resuscitation,2016,98:48-63.
[9] NOLAN J P,SOAR J,CARIOU A,et al.European Resuscitation Council and European Society of Intensive Care Medicine guidelines for post-resuscitation care 2015:section 5 of the European Resuscitation Council Guidelines for Resuscitation 2015[J].Resuscitation,2015,95:202-222.
[10]周鹭,刘高,和意娴,等.急性缺血性卒中相关性肺炎的管理相关循证指南的AGREEⅡ质量评价[J].中国卒中杂志,2021,16(1):51-57.
[11]闫媛媛,王斌全,王梦瑶,等.2015年—2020年肠造口护理临床实践指南的质量评价[J].护理研究,2021,35(7):1267-1272.
[12]李畅妍.妊娠期糖尿病循证临床实践指南的质量评价[J].循证护理,2021,7(3):302-307.
[13]ABELLA B S,RHEE J W,HUANG K N,et a1.Induced hypothermia is undemsed after resuscitation from cardiac anest:a current practice survey[J].Resuscitation,2005,64(2):181-186.
[14]张玉曼,宋春霞,郑晓丽,等.心搏骤停患者目标体温管理的最佳证据总结[J].中华护理杂志,2020,55(4):621-627.
[15]心脏骤停后目标温度管理共识专家组.心脏骤停后目标温度管理专家共识[J].中华急诊医学杂志,2016,25(8):1000-1006.
(本文编辑:陈晓英)

相似文献/References:

[1]张兵,李爽,桂莉.院外心搏骤停第一反应人空间需求配置研究[J].军事护理,2021,38(01):9.[doi:10.3969/j.issn.1008-9993.2021.01.003]
　ZHANG Bing,LI Shuang,GUI Li.Research on the Spatial Requirement Allocation of Out-of-hospital Cardiac Arrest First Responders[J].Nursing Journal Of Chinese People's Laberation Army,2021,38(09):9.[doi:10.3969/j.issn.1008-9993.2021.01.003]
[2]程鹏飞,张娜,周明,等.严肃游戏在心肺复苏教育中的应用现状及展望[J].军事护理,2021,38(05):74.[doi:10.3969/j.issn.1008-9993.2021.05.020]
[3]彭剑飞,施慧,余爽,等.虚拟现实在心肺复苏实践教学中应用的范围综述[J].军事护理,2022,39(11):69.[doi:10.3969/j.issn.2097-1826.2022.11.018]
　PENG Jianfei,SHI Hui,YU Shuang,et al.Application of Virtual Reality in the Practical Teaching of Cardiopulmonary Resuscitation: A Scoping Review[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(09):69.[doi:10.3969/j.issn.2097-1826.2022.11.018]

备注/Memo

备注/Memo:
【 收稿日期 】 2021-05-11 【 修回日期 】 2021-08-10
【 作者简介 】 宋春霞,硕士,主管护师,主要从事急危重症护理和心理护理
【 通信作者 】 孔冬,电话:0531-68776069
更新日期/Last Update: 2021-09-15