肥胖病人外周靜脈置管的證據(jù)總結(jié)

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Abstract Objective：To retrieve，evaluate，and summarize the best evidence on peripheral intravenous catheterization in obese patients.Methods： Guidelines，clinical decision-making，expert consensus，evidence summaries，systematic reviews，and original research on the best evidence of peripheral intravenous catheterization in obese patients were retrieved from UpToDate，Best Practice （BMJ），American Guidelines Network，Canadian Ontario Registered Nurses Association Network，Scottish Intercollegiate Guidelines Network，Yimaitong Guidelines Network，the Cochrane Library，PubMed，CBM，WanFang Database，China National Knowledge Infrastructure （CNKI），and the American Infusion Nurses Association. The search time limit was from establishing the database to June 30，2022. Two researchers independently completed the quality evaluation，extracting and integrating evidence based on professionals′ judgment.Results：A total of 8 articles were included，including 1 guideline，2 clinical decision-making articles，2 evidence summaries，1 systematic review，and 2 original studies. A total of 21 pieces of evidence were summarized in 10 aspects，including difficult factors，pre-catheterization assessment，equipment selection，vein selection，catheter selection，personnel qualifications，cannulation angle，intervention strategy，post-puncture assessment，and quality control.Conclusion：The summarized best evidence for peripheral intravenous catheterization in obese patients could provide the evidence-based basis for nurses to perform peripheral intravenous catheterization in obese patients，improve the success rate of peripheral intravenous catheterization in obese patients，and improve patients′ comfort，satisfaction，and quality of nursing.

Keywords peripheral vein;intravenous catheterization;obesity;best evidence;evidence-based nursing

摘要 目的：檢索、評(píng)價(jià)和總結(jié)肥胖病人外周靜脈置管的最佳證據(jù)。（剩余12556字）