在接受肠道营养支持的重症患者中减少腹:基于证据的质量改进项目
1Author Affiliations: Department of Nursing, Tongji Medical College of Huazhong University of Science and Technology, Wuhan (Ms He, Dr Wang, and Mss Wang and Du); Unit of Gerontology, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China (Ms Wang); Intensive Care Unit, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China (Mr Xiong); Neurosurgical Intensive Care Unit, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China (Messrs Li and Huang); and School of Nursing, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China (Mr Zhang).
实施基于证据的工具显著降低了重症监护室 (ICU) 的腹率. 这改善了接受肠道营养的患者的护理和遵守实践标准.
科学领域:
- 关键护理医学 关键护理医学
- 胃肠病学 护理 胃肠病学
- 基于证据的实践.
背景情况:
- 肠道营养期间的腹是ICU中常见的并发症,导致患者不良结果和增加护理工作量.
- 在2021年5月至7月期间,在研究ICU中观察到显著的腹率 (37.14%).
- 护士们经历了管理腹患者的中度至重度负担.
研究的目的:
- 评估基于证据的干预措施对ICU中腹查和预防的影响.
- 在接受肠道营养的患者中减少腹的发生率.
- 改善护理人员遵守腹管理协议.
主要方法:
- 采用了实施前后研究设计.
- 通过文献审查开发了基于证据的干预措施,包括腹风险查工具和对策.
- 这些工具被集成到电子健康记录系统中,以便无使用.
主要成果:
- 腹的发生率显著下降,从37.14%降至17.33% (P = .000).
- 护士对腹评估,风险因子查,药剂选择和对策提供的实践标准的遵守程度显著增加 (P < .05).
结论:
- 开发的基于证据的工具有效地降低了ICU内的腹率.
- 这些工具的实施改善了患者的治疗结果,并优化了肠道营养患者的护理护理.
- 这一举措突显了将基于证据的实践纳入常规ICU护理中的成功.
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