Nursing assistance in patient care with external ventricular drain: a scoping review

ABSTRACT Objectives: to map the available evidence about nursing care aimed at adult patients using external ventricular drain. Methods: this is a review using the scoping review method. Results: Initially, 965 studies were identified and, after the eligibility criteria, a sample of 54 publications was obtained. Each of them was assessed according to GRADE, resulting in three studies with high quality; 14 with moderate quality; 32 with low quality; and five with very low quality. It was highlighted 20 nursing care subdivided into nine categories, namely: drainage system; bed positioning and mobilization; catheter care; monitoring of intracranial pressure; and medication administration. Conclusions: the scoping review made it possible to identify the main nursing care directed to adult patients undergoing placement of external ventricular drain from the evidence available to date.

摘要 研究目的：旨在梳理针对接受脑室外引流（external ventricular drain）的成年患者的护理相关现有证据。研究方法：本研究采用范围综述法开展。研究结果：初始检索共识别出965篇文献，经纳入排除标准筛选后，最终纳入54篇发表文献。对纳入文献均采用GRADE标准进行质量评价，结果显示其中3篇为高质量研究、14篇为中等质量研究、32篇为低质量研究、5篇为极低质量研究。本次综述重点梳理出20项护理干预措施，划分为9大类，具体包括：引流系统护理、体位摆放与活动指导、导管护理、颅内压监测、药物给药护理。研究结论：本次范围综述结合截至目前的现有证据，明确了针对接受脑室外引流置管术的成年患者的核心护理措施。