中国血液净化

中国血液净化 ›› 2025, Vol. 24 ›› Issue (04): 343-347.doi: 10.3969/j.issn.1671-4091.2025.04.018

• 护理研究 • 上一篇    下一篇

基于最佳证据的成人初置管腹膜透析手术前评估单制作

张 瑛    施学芝    白友为    程小敏    吴 丹   张香如   

  1. 237000 六安，安徽医科大学附属六安医院1肾内科 2护理部
  • 收稿日期:2024-08-12 修回日期:2024-12-19 出版日期:2025-04-12 发布日期:2025-04-12
  • 通讯作者: 施学芝 E-mail:2798984003@qq.com
  • 基金资助:
    安徽省教育厅重大课题(2022AH040095)

Preparation of a preoperative assessment sheet for first placement of peritoneal dialysis catheter in adults based on best evidence

ZHANG Ying, SHI-Xue-zhi, BAI You-wei, CHENG Xiao-min, WU Dan, ZHANG Xiang-ru   

  1. Department of Nephrology and 2Department of Nursing Administration, Lu’an People’s Hospital Affiliated to Anhui Medical University, Lu’an 237000, China
  • Received:2024-08-12 Revised:2024-12-19 Online:2025-04-12 Published:2025-04-12
  • Contact: 237000 六安，安徽医科大学附属六安医院2护理部 E-mail:2798984003@qq.com

摘要： 的 评价并总结腹膜透析患者置管前评估的相关证据，制作手术前评估单，为临床制定治疗方案提供依据。 方法 系统检索国内外指南网站、数据库、相关专业协会网站等与腹膜透析置管前评估内容的相关文献，检索时间为建库至2024年5月。采用临床指南研究与评价系统Ⅱ(appraisal of guidelines for research & evaluation Ⅱ，AGREE Ⅱ)及澳大利亚乔安娜布里格斯研究所(Joanna Briggs Institute，JBI)循证卫生保健中心相应的评价工具对纳入的文献进行质量评价，并提取、整合证据；采用专家小组会议法制作初置管手术前评估单。 结果 共纳入10篇文献，其中专家共识4篇，指南4篇，临床决策2篇。共总结23条最佳证据，制作评估单涵盖一般情况、病史、生理功能、腹部皮肤、个人习惯、社会/家庭支持、患者意愿等内容。 结论  本研究制作的评估单可帮助临床医护人员为初置管腹膜透析患者制定治疗方案及为健康教育指导提供循证依据。

关键词: 腹膜透析, 初置管, 评估单

Abstract: Objective  To evaluate and summarize the relevant evidence of pre-catheterization evaluation in peritoneal dialysis (PD) patients, and to produce a preoperative assessment sheet useful for planning clinical treatment.  Methods  Literature related to the preoperative assessment of PD catheterization was systematically searched in domestic and foreign guide websites, databases, and related professional association websites and others. The retrieval time was from the establishment of the database to May 2024. AGREE II and JBI evaluation tools were used to evaluate the quality of included literatures, and the evidences were then extracted and integrated. The preoperative assessment sheet for first placement of PD  catheter was made by a meeting of an expert group.  Results  A total of 10 articles were included, including 4 expert consensus, 4 guidelines and 2 clinical decisions. Twenty-three evidences were summarized, and seven aspects including general condition, medical history, physiological function, abdominal skin, personal habits, social/family support and patient willingness were used for making the assessment sheet.  Conclusions  This assessment sheet can help clinical staff obtain relevant evidence and make treatment plan and health education for the PD patients undergoing first catheterization. 

Key words: Peritoneal dialysis, Primary catheterization, Evaluation sheet