实用临床医药杂志2024,Vol.28Issue(14) :123-127,148.DOI:10.7619/jcmp.20241281

老年住院患者沉默性误吸发生率的循证研究

Evidence-based practice on incidence of silent aspiration in elderly hospitalized patients

杨丽娜 荣岚 潘莉倩 徐琛莹
实用临床医药杂志2024,Vol.28Issue(14) :123-127,148.DOI:10.7619/jcmp.20241281

老年住院患者沉默性误吸发生率的循证研究

Evidence-based practice on incidence of silent aspiration in elderly hospitalized patients

杨丽娜 1荣岚 1潘莉倩 1徐琛莹2
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作者信息

  • 1. 上海交通大学医学院附属瑞金医院护理部,上海,200025;上海交通大学医学院附属瑞金医院老年病科,上海,200025
  • 2. 上海交通大学医学院附属瑞金医院老年病科,上海,200025
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摘要

目的 探讨循证实践在预防老年住院患者沉默性误吸发生中的应用效果.方法 选取老年科工作的70名护士和老年科收治的≥65岁老年患者为循证实践研究对象,以证据应用前(2021年11月—2022年4月)收治评估的704例患者为基线审查组,以证据应用后(2022年5月—2022年10月)收治评估的744例患者为证据应用组.证据应用后评价护士对相关审查指标的执行情况及2组患者的沉默性误吸发生率等指标.结果 证据应用后,护士对11项降低沉默性误吸发生率的审查指标的执行率均高于证据应用前;患者沉默性误吸发生率由证据应用前的12.5%下降至证据应用后的7.8%,差异有统计学意义(P<0.05).结论 基于证据的质量审查项目,有利于规范护士的预防沉默性误吸的护理行为;实施降低老年住院患者沉默性误吸发生率的循证实践,有利于减少不良事件的发生.

Abstract

Objective To investigate the application effect of evidence-based practice in preven-ting silent aspiration in elderly hospitalized patients.Methods A total of 70 nurses and elderly pa-tients aged ≥65 years old in the geriatric department were selected as the subjects of evidence-based practice.A total of 704 patients assessed before the application of evidence(November 2021 to April 2022)were included in baseline review group,and 744 patients assessed after the application of evi-dence(May 2022 to October 2022)were included in evidence application group.After the application of evidence,the nurses'performance of relevant audit indicators and the incidence of silent aspiration in both groups were evaluated.Results After the application of evidence,the nurses'performance rates of 11 audit indicators for reducing incidence of silent aspiration were higher than those before the application;the incidence of silent aspiration among patients decreased significantly from 12.5%be-fore the application of evidence to 7.8%after the application(P<0.05).Conclusion The quality audit project based on evidence is conducive to standardizing nurses'nursing behaviors for preventing silent aspiration.The implementation of evidence-based practice to reduce the incidence of silent aspi-ration in elderly hospitalized patients is beneficial to reduce the occurrence of adverse events.

关键词

沉默性误吸/老年患者/循证实践/护理质量

Key words

silent aspiration/elderly patients/evidence-based practice/nursing quality

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基金项目

上海市卫健委科研项目(202240038)

出版年

2024
实用临床医药杂志
扬州大学,中国高校科技期刊研究会

实用临床医药杂志

CSTPCD
影响因子:1.543
ISSN:1672-2353
参考文献量19
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