首页|持续质量改进模式在前列腺切除术后膀胱痉挛管理中的循证实践

持续质量改进模式在前列腺切除术后膀胱痉挛管理中的循证实践

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目的 依据前列腺切除术后膀胱痉挛管理的最佳证据进行前列腺切除术后膀胱痉挛管理的临床持续质量改进.方法 依据基于证据的持续质量改进模式,2022年3-12月通过证据获取、现状审查、证据引入和效果评价.比较证据应用前后各审查指标执行情况、临床护士前列腺切除膀胱痉挛护理技能及知识掌握情况、患者膀胱痉挛的发生率、严重程度.结果 第1轮现状审查中,审查指标13、15、21执行率达到100%,第2轮审查结果显示上述指标维持良好.其余23条审查指标执行率均得到提高.护理人员知识水平得分由(79.13±6.10)分提高至(88.63±5.68)分,患者膀胱痉挛的发生率及严重程度较前减轻,差异有统计学意义(P<0.05).结论 基于证据的持续质量改进模式能够提升前列腺切除术后膀胱痉挛管理的护理质量,改善患者临床结局.
Evidence-based practice of quality improvement model in the management of bladder spasm after prostatectomy
Objective To conduct clinical continuous quality improvement based on the best evidence of bladder spasm management after prostatectomy.Methods According to the evidence-based continuous quality improvement model,evidence acquisition,current situation review,evidence introduction,and effectiveness evaluation were con-ducted from March to December 2022.The implementation status of each review indicator,the nursing skills and knowledge mastery of clinical nurses for prostatectomy bladder spasm,the incidence and severity of bladder spasm in patients were compared before and after the application of evidence.Results In the first round of current status re-view,the implementation rate of review indicators 13,15,and 21 reached 100%,and the results of the second re-view showed that the above indicators remained good.The implementation rate of the remaining 23 review indicators had been improved.The knowledge level score of nursing staff increased from(79.13±6.10)points to(88.63±5.68)points,and the incidence and severity of bladder spasms in patients decreased compared to before,with statis-tically significant differences(P<0.05).Conclusion An evidence-based model of continuous quality improvement can promote the nursing quality of bladder spasm management after prostatectomy,and improve patients'clinical out-comes.

benign prostatic hyperplasiabladder spasmsbest evidencecontinuous quality improvementnursing management

汤琪、郭琼、岳晓娥、朱宁宁、刘春芳、陈永侠

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蚌埠医科大学护理学院,安徽蚌埠 233000

蚌埠医科大学第一附属医院,安徽蚌埠 233000

前列腺增生 膀胱痉挛 最佳证据 持续质量改进 护理管理

蚌埠医学院自然科学重点项目

BYKY2019035ZD

2024

护士进修杂志
贵州省医药卫生学会办公室

护士进修杂志

CSTPCD
影响因子:2.59
ISSN:1002-6975
年,卷(期):2024.39(15)