改善自闭症谱系障碍儿童静脉切除体验
DeeAnn Hebrink1, Deb Bruene, Cassandra Fowler
1DeeAnn Hebrink is a staff nurse, Deb Bruene is a nursing practice leader, Cassandra Fowler is an evidence-based practice specialist, Kelly Pelzel is a clinical assistant professor, and Kirsten Hanrahan is the director of nursing research and evidence-based practice, all at the University of Iowa Health Care in Iowa City. Contact author: DeeAnn Hebrink, deeann-hebrink@uiowa.edu. The authors have disclosed no potential conflicts of interest, financial or otherwise.
The American journal of nursing
|December 24, 2025
概括
实施个性化护理,准备和系统设计显著改善了自闭症谱系障碍 (ASD) 儿童的静脉穿刺程序. 这项质量改进项目提高了临床医生和家长的准备,为患有自闭症儿童带来了更好的结果.
科学领域:
- 提高儿科医疗保健质量的改善
- 自闭症谱系障碍 (ASD) 的干预措施
- 医疗保健中的基于证据的实践
背景情况:
- 患有自闭症谱系障碍 (ASD) 的儿童在医疗保健期间经常经历高度的恐惧和痛苦,导致不遵守.
- 对于患有自闭症儿童来说,有效地管理针刺疼痛和恐惧至关重要,因为他们经常需要医疗护理,应对机制有限.
研究的目的:
- 实施和评估以证据为基础的干预措施,以改善 ASD 儿童在静脉穿刺期间的程序护理和管理具有挑战性的行为.
- 为了增强 ASD 的儿科患者的静脉穿刺体验.
主要方法:
- 在儿科手术和成像套件中利用爱荷华州模型进行基于证据的实践 (EBP) 改进.
- 实施实践变革,包括个性化护理,患者/家庭准备,临床医生准备和基于文献,偏好和输入的系统设计.
主要成果:
- 临床医生 (n=16) 增加了知识,舒适度和资源的可用性,同时改善了工作流的利用和结果.
- 家长 (n=20) 报告说,他们的准备能力有所提高,工作人员的舒适度,预约流量以及更有支持性的环境.
- 过程措施为改进机会提供了信息,并为实践变革选择了战略.
结论:
- 在静脉穿刺期间优化ASD儿童的护理包括加强个性化护理,为患者/家庭和临床医生做好准备,以及系统设计.
- 一个EBP流程模型和有针对性的实施策略可以促进采取干预措施来支持患有自闭症的儿童.
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