目的 了解国内目标体温管理(TTM)的发展现状和变化规律,分析该领域研究热点及未来趋势.方法 以为主题,检索中国知网和万方数据库自建库以来至2022年7月1日的核心期刊论文,借助CiteSpace和Note-Express 软件,采用共词聚类分析法对其进行共现分析和聚类分析.结果 共检索到文献3 548篇,提取高频关键词25个,形成有意义的4个聚类:TTM的内涵与外延、TTM的适用情境、TTM的临床分析、TTM的临床实践.结论 通过分析把握了 TTM的主流方向和焦点问题,临床可结合国内TTM发展现状并制定针对性的干预措施,以期提升护理人员的TTM水平.

目的 系统评价非专业旁观者对院外心脏骤停者实施心肺复苏术(cardiopulmonary resuscitation,CPR)的体验.方法 检索PubMed、The Cochrane Library、Web of Science、Embase、CNKI、万方数据库、维普数据库和中国生物医学文献数据库中关于非专业旁观者实施院外CPR的心理体验及应对措施的质性研究,检索时限为建库至2022年6月.采用澳大利亚乔安娜布里格斯研究所(Joanna Briggs Institute,JBI)质性研究质量评价标准评价文献质量,采用汇集性整合方法整合研究结果,采用ConQual证据分级方法评价整合结果质量.结果 初检文献1 511篇,经去重、筛选和质量评价后,最终纳入7篇文献,包括5篇现象学研究和2篇扎根理论.提炼出54个研究结果,将相似结果归纳为9个新类别,得出3个整合结果:非专业旁观者实施CPR的有利动因、非专业旁观者实施CPR时的挑战和非专业旁观者实施CPR后的应激状态和心理成长.结论 应开展符合现实需求的CPR培训以提高非专业旁观者再次施救的意愿和能力,同时关注非专业旁观者的心理和信息需求.

Objective To conduct a scoping review of domestic and foreign triage competency tools for pre-screening triage nurses.Methods The databases of PubMed, Embase, CINAHL,Cochrane Library, Web of Science, CNKI,Wanfang, and SinoMed were searched for the studies on triage competency tools for pre-screening triage nurses.The retrieval time frame was from inception to October, 2022.Relevant studies were reviewed according to the framework of scoping review.Literature data were screened and extracted by two investigators independently.Results A total of 2766 relevant articles were retrieved and 11 articles were involved.Ten triage competency tools for pre-screening triage nurses were summarized, containing the indicators of knowledge, skills, communication, teamwork, etc.Conclusions The triage competency tools for pre-screening triage nurses in China were developed in recent years.The outcome indicators of some tools need to be clarified, and their application effects need further validation.Relevant tools should be verified and refined in the future, so as to provide references for assessing and evaluating the triage competency of pre-screening triage nurses, and to facilitate the continuous promotion of pre-screening triage nursing training.