胡凯利，汪晖，徐蓉，王颖，杜美晨，张梦，乐霄

引用本文： 胡凯利，汪晖，徐蓉，王颖，杜美晨，张梦，乐霄.气溶胶高风险暴露护理操作防护证据总结[J].护理研究,2021,35(4):589-595

摘要： [目的]总结气溶胶高风险暴露护理操作防护最佳证据。[方法]检索国内外指南网、相关机构网站及数据库等有关气溶胶高风险暴露护理操作防护的标准、指南、专家共识、专家意见、政府文件、最佳/推荐实践、证据总结、系统评价。由3名研究者对文献质量进行评价和资料提取，对符合质量标准的文献进行证据提取。依据临床指南研究与评价系统（AGREE Ⅱ）对各类研究进行文献质量评价并根据JBI循证卫生保健中心证据推荐级别系统进行证据级别评定。[结果]共纳入14篇文献，包括7篇指南、1项标准、4篇政府文件、2篇专家意见。从实施气溶胶高风险暴露操作的病房环境要求、清洁和消毒、防护用品、管理制度、操作原则5个方面共提取22条证据。[结论]临床医疗机构和护理人员应保证医疗照护环境安全，规范防护用品的管理和使用，降低护理人员感染暴露风险，保证护理人员的人身安全，提高病人照护质量。

关键词： 气溶胶;隔离防护;最佳证据;证据总结;风险;暴露;护理操作;护理安全

HU Kaili，WANG Hui，XU Rong，WANG Ying，DU Meichen，ZHANG Meng，YUE Xiao

Abstract [Objective]To summarize the best evidence for the protection of nursing operations for high-risk aerosol exposure.[Methods]Standards，guidelines，expert consensus，expert opinions，government documents，best/recommended practices，evidence summary，and systematic reviews related to aerosol high⁃risk exposure nursing operation protection were retrieved from domestic and foreign guide websites，relevant institution websites，and databases.Three researchers reviewed the quality of the literature，extracted data，and extracted evidence from the literature that meets the quality standards.According to the clinical guideline research and evaluation system（AGREE Ⅱ），the literature quality was evaluted.According to the JBI evidence⁃based health care center recommendation level system evidence level evaluation of various studies was carried out.[Results]A total of 14 pieces of literature were included，involving 7 guidelines，1 standard，4 government documents，and 2 expert opinions.A total of 22 pieces of evidence were extracted from the five aspects of ward environment requirements，cleaning and disinfection，protective equipment，management systems，and operating principles for the implementation of aerosol high⁃risk exposure operations.[Conclusions]Clinical medical institutions and nursing staff should ensure the safety of the medical care environment，regulate the management and use of protective equipment，reduce the risk of infection exposure of nursing staff，ensure the personal safety of nursing staff，and improve the nursing quality of patients.

Keywords aerosol;isolation protection;best evidence;summary of the evidence;risk;exposure;nursing operation;nursing safety

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