乳腺癌患者可以安全地使用他们的ipsilateral手臂进行医疗程序. 这种实践改变消除了不准确的测量和不必要的中央静脉导管,而不会导致淋巴.
科学领域:
- 瘤学 护理 护理专业
- 基于证据的实践.
背景情况:
- 乳腺切除术/淋巴结术后使用ipsilateral手臂是受限制的,通常没有证据.
- 这种限制导致测量不准确,并增加了中央静脉导管的使用.
研究的目的:
- 试验一种实践变化,允许乳腺癌患者使用ipsilateral臂.
- 为了评估这种实践变化的安全性和有效性.
主要方法:
- 利用了约翰霍普金斯大学的基于证据的实践模型.
- 实施了血液瘤科住院患者与乳腺癌史的变化.
主要成果:
- 在12个月内,超过100名患者参与了这项研究,没有淋巴的病例.
- 淘汰了脚棒的订单和小牛的血压测量.
- 经过16个月的时间,在整个系统中采用了实践变化.
结论:
- 允许ipsilateral手臂的使用对于乳腺癌患者来说是安全有效的.
- 这一变化改善了患者的护理,减少了不必要的手术.
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