目的:目的有两个方面:(a)绘制文献中记录的工具,以评估接受高流量鼻插管(HFNC)治疗的患者的舒适度;(b)评估是否已为此目的验证了检索到的工具。
方法:范围审查,遵循用于范围审查的系统审查和荟萃分析扩展的首选报告项目(PRISMA-ScR)。2023年7月,PubMed,Scopus,咨询了CINAHL和Cochrane图书馆。评估成人舒适度的研究,儿科,包括接受HFNC的新生儿患者。
结果:包括74篇文章,其中9人(12.2%)以舒适为主要目标。发现了二十五个不同的工具,可分为14种类型,主要是一维的,源于那些测量疼痛的人。最广泛使用的是视觉类比量表(n=27,35.6%),其次是数值评定量表(n=11,14.5%)和定义较少的通用工具(n=10,13.2%),具有不同的指标(例如0-5,0-10,0-100)。仅对一般舒适度问卷和舒适度量表进行了专门验证,用于评估成人和儿童的舒适度。分别。
结论:尽管文献中广泛研究了接受HFNC的患者的舒适度,缺乏在这一领域专门验证的工具。那些已经被验证主要是为了评估疼痛,建议需要告知患者在HFNC期间测量舒适度时防止混淆,并在该领域开展更多研究。
结论:舒适评估是护理的一个重要方面。鉴于该领域缺乏验证研究,建议进行研究。
OBJECTIVE: The aims were twofold: (a) to map tools documented in the literature to evaluate comfort among patients undergoing high flow nasal cannula (HFNC) treatment; and (b) to assess if the retrieved tools have been validated for this purpose.
METHODS: A scoping
review, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews (PRISMA-ScR). In July 2023, PubMed, Scopus, CINAHL and Cochrane Library were consulted. Studies assessing comfort in adult, paediatric, and neonatal patients undergoing HFNC were included.
RESULTS: Seventy-four articles were included, among which nine (12.2 %) investigated comfort as the primary aim. Twenty-five different tools were found, classifiable into 14 types, mostly unidimensional and originating from those measuring pain. The most widely used was the Visual Analogic Scale (n = 27, 35.6 %) followed by the Numerical Rating Scale (n = 11, 14.5 %) and less defined generic tools (n = 10, 13.2 %) with different metrics (e.g. 0-5, 0-10, 0-100). Only the General Comfort Questionnaire and the Comfort Scale were specifically validated for the assessment of comfort among adults and children, respectively.
CONCLUSIONS: Although the comfort of patients undergoing HFNC is widely investigated in the literature, there is a scarcity of tools specifically validated in this field. Those used have been validated mainly to assess pain, suggesting the need to inform patients to prevent confusion while measuring comfort during HFNC and to develop more research in the field.
CONCLUSIONS: Comfort assessment is an important aspect of nursing care. Given the lack of validation studies in the field, efforts in research are recommended.