中华现代护理杂志2024,Vol.30Issue(4) :469-474.DOI:10.3760/cma.j.cn115682-20230614-02383

外周动脉疾病患者运动训练审查指标的制订及障碍因素分析

Review indicators and barriers of exercise training in patients with peripheral arterial disease

杨琴 黄妍 赵玉明 许文香 陈媛
中华现代护理杂志2024,Vol.30Issue(4) :469-474.DOI:10.3760/cma.j.cn115682-20230614-02383

外周动脉疾病患者运动训练审查指标的制订及障碍因素分析

Review indicators and barriers of exercise training in patients with peripheral arterial disease

杨琴 1黄妍 1赵玉明 1许文香 1陈媛2
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作者信息

  • 1. 厦门大学附属心血管病医院血管外科,厦门 361000
  • 2. 厦门大学附属心血管病医院护理部,厦门 361000
  • 折叠

摘要

目的 开展外周动脉疾病患者运动训练的循证实践,制订审查指标,分析循证实践过程中的障碍因素及促进因素,制订变革策略.方法 以乔安娜布里格斯研究所循证卫生保健中心的临床证据应用模式为理论指导,确定临床护理问题,组建循证实践小组,系统检索、评价和汇总外周动脉疾病患者运动训练证据,制订审查指标并明确审查方法,于2022年10月1-31日进行基线审查,采用i-PARIHS框架对基线审查结果进行障碍、促进因素分析,并制订相应的策略.结果 本研究共纳入20条最佳证据,制订11条审查指标,仅1条指标依从率为100%;分析得出22个障碍因素、24个促进因素,制订14条变革策略.结论 该研究基于最佳证据构建的审查指标科学、有效,具有适宜性和可行性,障碍因素及促进因素分析与变革策略的制订可为推进外周动脉疾病患者运动训练临床实践提供保障.

Abstract

Objective To conduct evidence-based exercise training for patients with peripheral arterial disease,develop review indicators,analyze barriers and enablers in the evidence-based practice process,and develop change strategies.Methods Guided by the clinical evidence application model of the Joanna Briggs Institute Evidence-Based Health Care Center,the study identified clinical nursing problems,formed the evidence-based practice team,systematically searched,evaluated,and summarized evidence of exercise training in patients with peripheral arterial disease,developed review indicators,and clarified review methods.The baseline review was conducted from October 1 to 31,2022.The integrated-promoting action on research implementation in health services(i-PARIHS)framework was used to analyze the barriers and enablers of the baseline review results,and corresponding strategies were formulated.Results A total of 20 best evidence were included,and 11 review indicators were developed,with only one indicator having a compliance rate of 100%.This study analyzed 22 barriers and 24 enablers,and formulated 14 change strategies.Conclusions The review indicators constructed based on the best evidence are scientific,effective,appropriate,and feasible.The analysis of barriers and enablers,as well as the formulation of change strategies,can provide guarantees for promoting clinical practice of exercise training for patients with peripheral arterial diseases.

关键词

外周血管疾病/运动/审查指标/障碍因素/i-PARIHS

Key words

Peripheral vascular diseases/Exercise/Review indicators/Barriers/i-PARIHS

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基金项目

厦门市临床重点专科建设项目(厦卫科教[2021]215号)

出版年

2024
中华现代护理杂志
中华医学会

中华现代护理杂志

CSTPCD
影响因子:1.14
ISSN:1674-2907
参考文献量36
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