气管切开患者吸痰临床实践的证据转化
Evidence Transformation of Clinical Practice in Sputum Aspiration for Patients Undergoing Tracheotomy
曹捷 1彭琳 2黄晓燕 3王园 1王立芬 4冯苹1
作者信息
- 1. 海军军医大学第一附属医院烧伤科,上海 200433
- 2. 海军军医大学第一附属医院麻醉学部重症医学科
- 3. 复旦大学护理学院妇儿教研室,上海 200032
- 4. 海军军医大学第一附属医院急诊科
- 折叠
摘要
目的 总结气管切开患者吸痰临床实践的循证证据,将证据进行临床转化,并验证其临床应用效果.方法 通过澳大利亚循证护理中心循证框架、结构化检索文献、质量评价和整合,获得气管切开患者吸痰前气道评估、用物评估、氧储备、吸痰负压、吸痰深度、气道湿化、声门下吸引等证据共 14 条、形成审查指标 16 条,并将证据转化至临床实践.结果 证据应用后,ICU护士对气管切开患者吸痰相关理论知识得分提高[(58.30±12.27)分vs(63.68±11.88)分,P＜0.05]、临床实践与最佳证据的 16 条审查指标规范化执行率亦均有不同程度提高(均P＜0.05).结论 经循证实践,气管切开患者吸痰的临床操作现况与最佳证据之间的差距缩小,优化了护理操作,提高了护理质量.
Abstract
Objective To summarize the evidence-based evidence of clinical practice in sputum aspiration for patients undergoing tracheotomy,so as to transform the evidence into clinical practice and verify its clinical application effect.Methods Through JBI evidence-based framework,structured literature retrieval,quality evaluation and integration,14 pieces of evidence and 16 items of review indicators were obtained,in-cluding airway assessment,material assessment,oxygen reserve,negative pressure of sputum aspiration,depth of sputum aspiration,airway humidification and subglottic aspiration of patients undergoing tracheot-omy before sputum aspiration.The evidence was transformed into clinical practice.Results ICU nurses'scores of theoretical knowledge related to sputum aspiration in patients undergoing tracheotomy increased after the application of evidence[(58.30±12.27)points vs(63.68±11.88)points,P＜0.05],and the stand-ardized implementation rate of 16 review indicators of clinical practice and best evidence increased to var-ying degrees(all P＜0.05).Conclusions The evidence-based practice shows that the gap between the cur-rent state of clinical practice and the best evidence of sputum aspiration in patients undergoing tracheotomy is narrowed,which optimizes the care practices and improves the quality of care.
关键词
气管切开/吸痰/证据转化Key words
tracheotomy/sputum aspiration/evidence transformation引用本文复制引用
基金项目
军队护理创新与培育专项(2021HL027)
复旦大学循证护理中心证据转化与临床应用项目(第七期)(Fudanebn202228)
出版年
2024
NETL
NSTL
维普
万方数据