南华大学护理学院;南华大学附属长沙中心医院呼吸内科;中南大学IBI湘雅循证实践与创新中心;
目的 系统检索并总结慢性阻塞性肺疾病（COPD）患者无创通气过程中器械相关压力性损伤预防的有效证据，为临床护理提供循证依据。方法 依据“6S”证据金字塔模型，检索国内外数据库中关于COPD患者无创通气过程中器械相关压力性损伤预防及管理的相关文献，检索时间跨度为数据库建立至2024年4月30日。由2名研究者依据JBI循证卫生保健中心的评价标准和证据分级体系，对文献进行评价和证据等级评定。结果 共纳入8篇文献，包括指南2篇、系统评价3篇、专家共识1篇、证据总结2篇。最终整理出涵盖患者风险评估、皮肤和组织评估、预防性皮肤护理、营养管理、呼吸机面罩选择与佩戴、支撑面/敷料、培训与教育7个方面28条最佳证据。结论 本研究总结了COPD患者无创通气器械相关压力性损伤预防的最佳证据。医护人员可结合临床情境灵活实施，推动循证证据向临床实践的有效转化，降低COPD患者无创通气过程中发生器械压力性损伤概率。
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基本信息:
DOI：
中图分类号:R473.5
引用信息:
[1]吴双,彭佳,江海强等.慢性阻塞性肺疾病患者无创通气器械相关压力性损伤预防的最佳证据汇总[J].老年医学研究,2025,6(02):24-30.
基金信息:
国家自然科学基金资助项目（72104250,基于线上支持平台的院—校合作循证护理实践模式的构建及实证研究）; 湖南省自然科学基金资助项目（2022JJ40642,院—校合作循证护理实践中配套教育模式的构建及实证研究）