维持性血液透析患者扣眼穿刺护理的最佳证据总结
Journal: Basic Medical Theory Research DOI: 10.12238/bmtr.v7i6.17049
Abstract
目的：对维持性血液透析患者扣眼穿刺护理的证据进行检索、评价和总结，为扣眼穿刺护理提供实践指导。方法：系统检索数据库、专业协会网站中有关扣眼穿刺护理的证据，包括临床决策、临床指南、证据总结、专家共识及系统评价。结果：共纳入11篇文献，包括临床决策3篇、指南4篇、专家共识和系统评价各2篇，从穿刺方法的选择、隧道建立、扣眼去痂及消毒、钝针穿刺、感染预防及监测、护士培训及患者宣教6个方面总结出20条证据。结论：扣眼穿刺是绳梯穿刺的有益补充，在实施扣眼穿刺时应严格遵守无菌操作原则和操作规程，加强护士培训和患者健康教育，有利于降低扣眼穿刺并发症的发生率，提高护理质量。
Keywords
维持性血液透析；扣眼穿刺；证据总结
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