肠道管理协议:对瘤病患者护理转换的影响
Gayle Shanholtz1,2,3,4, Franz Henryk Vergara1,2,3,4, Katheryne Tifuh Amba1,2,3,4
1Gayle Shanholtz, DNP, RN, PMH-BC, NEA-BC, was a doctorate student for this project and was a nurse educator for neurology and oncology specializing in performance improvement, education, and outcome reviews to improve patient care. The school of nursing and southern hospital-site IRBs approved this project. Currently, she is the chief of acute care nursing services at the Martinsburg Veterans Affairs Medical Center in West Virginia.
对服用阿片类药物的瘤病人的标准化肠道治疗方案方案显著改善了肠道排便频率,并减少了住院时间 (LOS). 这一协议还增加了便软化剂的处方,提高了患者的护理.
科学领域:
- 瘤科 护理 护理专业
- 胃肠病学 胃肠病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在瘤病患者中,阿片类药物的使用经常导致便秘.
- 有效管理阿片类药物引起的便秘对于患者的舒适性和结果至关重要.
- 标准化的协议可以优化对常见副作用的护理.
研究的目的:
- 评估标准化肠道治疗方案协议对接受阿片类药物治疗的瘤病人的影响.
- 为了评估便软化剂处方率的变化.
- 为了确定对肠道排便频率和住院时间 (LOS) 的影响.
主要方法:
- 使用了带有前性医疗记录审查的测试后设计.
- 这项研究包括164名社区医院的瘤患者.
- 统计分析 (χ2测试) 将协议组和对照组之间的结果进行比较.
主要成果:
- 干预组显示,便软化剂的处方数量在统计学上显著增加 (68%对43%,p = .001).
- 在干预组中,排便频率显著改善 (93%对32%,p = .001).
- 干预组的平均住院时间 (LOS) 显著减少 (少于9天而不是9天,p = .001).
结论:
- 实施标准化肠道治疗方案协议在治疗片类药物引起的瘤患者的便秘方面是有效的.
- 该方案通过增加肠道规律性和减少医院LOS来改善患者的结果.
- 病例经理可以在协议实施和患者护理协调方面发挥关键作用.
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