在接受结肠直肠手术的患者中,利用护理评估早期识别术后胃肠功能障碍 (POGD)
Tessy Siby1, Alice Shajimon1, Daniel Mullen1
1Clinical Nursing, Division of Nursing, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.
Current oncology (Toronto, Ont.)
|July 26, 2024
概括
护士成功地将腹部打击乐融入了他们的工作流程,对使用I-FEED工具用于早期检测术后胃肠功能障碍 (POGD) 的信心很高. 这项质量改进计划支持POGD评估方法的临床验证.
科学领域:
- 手术护理 医疗护理
- 质量改善倡议 质量改善倡议
- 临床评估工具 临床评估工具
背景情况:
- 手术后胃肠道功能障碍 (POGD) 是胃肠道手术后的常见并发症,导致恢复时间延长和医疗费用增加.
- 缺少对POGD的标准化,客观的定义,阻碍了一致的临床管理.
- I-FEED评分系统是为提供客观定义而开发的,但需要临床验证.
研究的目的:
- 评估将腹部打击乐融入日常护理工作流程的可行性和护士接受度,以评估POGD.
- 在质量改进框架内评估I-FEED工具的实施情况.
主要方法:
- 胃肠道/结肠道外科护士接受了关于腹部打击技巧和EHR文档的培训.
- 六个月的实施期之后,进行了一项调查,以衡量护士的信心和工作流集成.
- 分析了白天班 (91%) 和夜班 (76%) 护士的反应率.
主要成果:
- 95%的护士报告说,他们对执行腹部打击乐作为日常评估的一部分有信心.
- 这项研究证明了将打击乐融入护理工作流程的可行性,而不会造成显著的额外负担.
- 高护士信心表明成功整合了I-FEED工具的评估组件.
结论:
- 在护理工作流程中,通过I-FEED工具引导腹部打击乐的整合是可行的.
- 护士对使用I-FEED工具的信心表明,它有可能用于早期POGD识别和改善患者的治疗结果.
- 这项质量改进计划为I-FEED系统的进一步临床验证提供了基础.
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