在瘤病房内植入静脉口管理:最佳实践实施项目的项目
Bo-Cyuan Wang1,2, Hsuan-Chih Kuo3, Chia-Hao Fan4,5,6
1Department of Nursing, New Taipei Municipal TuCheng Hospital (Chang Gung Medical Foundation), Taipei, Taiwan.
JBI evidence implementation
|October 24, 2025
概括
改善癌症患者的可植入静脉口 (IVP) 护理至关重要. 基于证据的培训和床边观察显著提高了护士的技能,减少了IVP并发症,如感染和闭塞.
科学领域:
- 瘤科 护理 护理专业
- 基于证据的实践.
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 植入式静脉端口 (IVP) 对于癌症患者的治疗至关重要,但不充分的护理会导致诸如闭塞和感染等并发症.
- 这些并发症可能需要切除IVP,扰乱患者的治疗,增加医疗费用.
研究的目的:
- 通过实施基于证据的护理实践,加强瘤患者植入式静脉端口 (IVP) 的管理.
- 改善护士对IVP护理的最佳实践的遵守,从而减少相关的并发症.
主要方法:
- 一个利用JBI证据实施框架的项目在台湾进行.
- 通过客观结构化临床检查 (OSCE) 和床边观察来评估护士的IVP护理技能.
- 实施了基于证据的视频培训和床边观察,以解决发现的障碍并改善实践.
主要成果:
- 在实施前,只有18.8%的护士通过了欧安组织,在疼痛管理和冲洗技术方面存在缺陷.
- 实施后,所有审计标准的遵守率达到100%,没有报告的闭塞事件.
- 肠道病毒感染率显著下降,从8.45‰降至2‰.
结论:
- 瘤护士对IVP的有效管理对于提供优质的护理和预防感染至关重要.
- 执业护士是制定协议和克服最佳IVP护理障碍的关键.
- 实施的培训计划成功提高了护士的能力和遵守IVP管理的最佳实践.
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