提高认证注册护士麻醉师遵守标准化手术内肺部保护通风协议的情况
Megan G Wilson1, Cara N Adams1, Matthew D Turnbull1
1Duke University Nurse Anesthesia Program, Duke University School of Nursing, Durham, NC.
概括
实施肺防护通风 (LPV) 协议提高了认证注册护士麻醉师 (CRNA) 的知识和实践. 这使得手术患者的驾驶压力降低,手术后氧气需求降低.
科学领域:
- 麻醉学 麻醉学
- 呼吸系统医学 呼吸系统医学
- 提高质量 提高质量
背景情况:
- 肺部保护性通风 (LPV) 对于在全身麻醉期间预防术后肺部并发症至关重要.
- 认证注册护士麻醉师 (CRNA) 在实施LPV策略方面发挥着关键作用.
- 标准化协议可以加强采用基于证据的实践.
研究的目的:
- 为CRNAs实施一个手术内LPV协议.
- 评估CRNA对LPV协议的遵守情况.
- 评估LPV对通风参数和术后氧气需求的影响.
主要方法:
- 一个质量改进项目,利用实施前后的设计.
- 在社区医院参与了60名患者和35名CRNA.
- 数据收集包括手术内通风参数和麻醉后护理单位 (PACU) 氧气需求.
主要成果:
- 在手术期间使用LPV增加了2.4%.
- CRNA知识和信心显示有所改善 (P=.031),实践有显著的改善 (P<.001).
- 驾驶压力下降 (P<.001),PACU中的补充氧气使用量从93.3%降至70.0%.
结论:
- 教育干预和协议实施加强LPV使用.
- 标准化的LPV协议可以改善患者的治疗结果.
- 这个项目证明了对LPV采用结构化方法的有效性.
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