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开发和验证临床实践标准的住院患者的身体克制:一个多方法研究
Ronghong Luo1, Meiling Yu1, Chun Zhou2
1Department of Infectious Diseases, Third Affiliated Hospital of Chongqing Medical University, Chongqing, 401120, People's Republic of China.
制定标准化的临床实践指导方针,以限制体力,显著改善了护士.
科学领域:
- 护理实践 护理实践
- 患者安全 患者安全
- 临床标准的发展 临床标准的发展
背景情况:
- 身体克制在医疗保健中广泛用于患者安全,但缺乏标准化的应用.
- 当前的做法可能会对患者产生不良的身体和心理影响.
- 需要基于证据的指导方针,专门针对护士使用身体克制.
研究的目的:
- 从护理角度开发和验证住院患者体力限制的临床实践标准.
- 评估这些标准对护士知识,态度和行为的影响.
- 评估标准对患者结果的影响.
主要方法:
- 一个多阶段的研究设计,包括横截面调查,采访,Delphi咨询和受控试验.
- 这项研究涉及202名护士和100名第三级医院的患者.
- 接受标准化培训的干预组与遵循常规协议的对照组之间的比较.
主要成果:
- 在专家咨询期间,达成了高度共识 (Cr = 0.85).
- 干预组在培训后的知识,态度和实践得分 (P < 0.05) 显著改善.
- 在干预组中,抑制剂的使用和持续时间显著下降 (P < 0.05),不显著的趋势是减少不良事件.
结论:
- 开发的临床实践标准有效地提高了护理实践的身体克制.
- 实施这些标准可以减少不必要的座椅使用,并提高患者的安全.
- 这些标准支持将其整合到临床护理管理中,以改善患者护理.
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