改善医院中老年便秘患者非药物干预的护理质量:一个最佳实践实施项目的项目
Jingjing Li1, Dahua Zhang2, Yaqian Zhang3
1School of Nursing, Beijing University of Chinese Medicine, Beijing, China.
JBI evidence implementation
|October 21, 2024
概括
这项研究成功地为老年便秘患者整合了非药物干预措施,显著改善了患者教育和肠道健康监测. 该项目强调了护士在通过基于证据的实践加强便秘护理方面的关键作用.
科学领域:
- 老年医学 老年医学
- 基于证据的实践.
- 医疗保健实施科学 医疗保健实施科学
背景情况:
- 非药物干预是偏好的便秘,但在临床实践中未得到充分利用.
- 医疗保健专业人员经常优先考虑药理疗法而不是非药理疗法治疗便秘.
研究的目的:
- 在医院环境中为患有便秘的老年患者实施基于证据的非药物干预措施.
- 促进在临床护理中使用非药物治疗便秘管理策略.
主要方法:
- 利用JBI证据实施框架跨越三个阶段:基线审计,障碍分析和后续审计.
- 实施的策略包括护理教育,患者/护士信息手册,修订的护理工作流程和环境修改.
- 根据预先定义的标准进行了审计,其中有60名老年患者参与了该项目.
主要成果:
- 实现了患者教育 (标准1) 的遵守率显著增加,从0%到60% (p < 0.001).
- 显示了对患者肠道健康监测 (标准2) 的完全增加,从0%到100% (p < 0.001).
结论:
- 基于证据的实施项目有效地整合了老年便秘患者的非药物干预措施.
- 护士在培养定期排便习惯和监测肠道健康方面发挥了重要作用,证实了他们在便秘管理中的重要作用.
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