成年患者手术后妄想的预防和治疗:最佳实践实施项目
Juliana Rizzo Gnatta1, Sarha de Oliveira Gonçalves Paes2, Maria Fernanda de Oliveira Faria2
1Universidade de São Paulo, Escola de Enfermagem, Departamento de Enfermagem Médico-Cirúrgica, São Paulo, SP, Brazil.
Revista da Escola de Enfermagem da U S P
|February 25, 2025
概括
实施基于证据的实践显著改善了术后妄想的预防和管理. 审计和培训加强了在麻醉后护理部门遵守最佳实践.
科学领域:
- 护理科学 护理科学
- 基于证据的实践实施实施.
- 患者安全 患者安全
背景情况:
- 手术后痴呆症 (POD) 是一种常见的并发症,影响患者的康复.
- 在麻醉后护理单位 (PACU) 中,有效的预防和管理策略至关重要.
- 实施基于证据的最佳实践 (EBBP) 需要一个结构化的方法.
研究的目的:
- 详细说明EBBP在PACU中的POD预防和管理的实施过程.
- 评估证据实施项目的对临床实践遵守的影响.
主要方法:
- 利用乔安娜·布里格斯研究所 (JBI) 的方法来实施证据.
- 采用审计和反流程来评估遵守EBBP的情况.
- 通过医疗记录,电子护理记录和员工访谈进行了基线和后续审计.
主要成果:
- 基线审计显示,对大多数EBBP标准的遵守几乎为零.
- 干预后,在九个经过审计的标准中,四个标准的合规性有所提高.
- 第二次后续审计表明,在四个标准中100%的合规性,表明成功实施.
结论:
- 实施的EBBP显著改善了PACU中的POD预防和管理.
- 跨专业培训和系统修改是成功实施的关键.
- 一年后,观察到遵守最佳实践的持续改善.
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