在脊椎外科病房中对术后患者的便秘的评估和管理:一个最佳实践实施项目的项目
Qin Luo1, Yanting Li1, Jia Guo2,3
1Teaching and Research Section of Clinical Nursing, Xiangya Hospital of Central South University, Changsha, China.
这项研究实施了基于证据的实践,以减少脊柱手术后的便秘. 该项目成功降低了手术病房的便秘发病率,从48%降至16%.
科学领域:
- 在医疗保健中基于证据的实施.
- 在外科病房的质量改善.
- 手术后护理和并发症管理
背景情况:
- 手术后便秘是脊柱手术后经常出现的并发症,导致腹部张张和疼痛等不良结果.
- 有效的管理策略对于减轻这些风险和改善患者康复至关重要.
- 这项研究解决了在脊柱外科设置中基于证据的干预措施的需要.
研究的目的:
- 报告一项基于证据的实施项目,旨在减少脊柱外科病房中便秘的发生率.
- 评估实施的策略在改善临床实践和患者结果方面的有效性.
- 提高接受脊柱手术的患者提供的护理质量.
主要方法:
- 利用乔安娜·布里格斯研究所 (JBI) 实施框架和基于证据的医疗保健模型.
- 在第三级医院的脊椎外科病房进行了基线和后续审计 (2022年3月至8月).
- 采用JBI的临床证据系统的实际应用 (PACES) 进行数据收集和分析,重点关注七个审计标准.
主要成果:
- 基线审计表明,在七个标准中,五个标准的合规性低于46%.
- 实施的战略包括护士/患者教育,风险评估,利益相关方参与和例行管理.
- 后续审计显示,合规性显著改善 (例如,标准2:0%至78%),便秘发病率从48%降至16%.
结论:
- 基于证据的实施项目成功改善了对最佳实践审计标准的遵守.
- 该项目导致手术后便秘的发生率显著降低.
- 在干预后的脊椎外科病房中,观察到质量管理效率的提高.
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