Evidence Transformation of Clinical Practice in Sputum Aspiration for Patients Undergoing Tracheotomy
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.