患有睡眠障碍的乳腺癌患者的护理过程:最佳实践实施项目
Chia-Wen Chuang1,2, Chuan-Fang Li1, Ming-Chu Chiang1
1Department of Nursing, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung City, Taiwan.
JBI evidence implementation
|December 13, 2024
概括
乳腺癌患者经常经历睡眠障碍,影响他们的健康. 实施结构化护理过程显著改善了睡眠查,评估和管理,提高了患者的福祉.
科学领域:
- 瘤学 护理 护理专业
- 基于证据的实践实施实施.
- 睡眠医学 在 癌症 护理 护理
背景情况:
- 乳腺癌患者在治疗期间面临50%更高的睡眠障碍风险.
- 睡眠问题会对生理和心理健康产生负面影响,可能会恶化癌症的结果.
- 有效管理睡眠障碍对于改善患者生活质量至关重要.
研究的目的:
- 在瘤病房内开发和实施一个系统的护理过程,以管理乳腺癌患者的睡眠障碍.
- 加强将基于证据的睡眠护理实践纳入常规临床实践.
主要方法:
- 利用JBI证据实施框架,结合审计和反机制.
- 进行了基线和后续审计,以评估遵守睡眠护理最佳实践建议.
- 确定了障碍,并实施了有针对性的策略,以改善睡眠管理协议.
主要成果:
- 大多数最佳实践标准的基线符合率为0%,初始睡眠查的符合率为71%.
- 实施后,100%的护士接受了睡眠障碍教育,查增加到90%.
- 对所有被评估的患者实现了全面睡眠评估和量身定制的多式模式睡眠管理的100%符合性.
结论:
- 该项目成功地提高了对管理乳腺癌患者睡眠障碍的基于证据的实践的坚持.
- 关键的成功因素包括以过程为导向的方法,跨学科的团队合作和强大的领导力.
- 未来的研究应该探索数字化睡眠评估工具,以提高护理的效率和可持续性.
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