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完全植入式静脉输液港维护循证护理标准在外科病房的应用 |
沈月红1,徐建鸣1,张新萍 1,黄慧 1,李丽1,胡雁2,陈瑜2,葛峰1,陈相坤1
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( 1. 复旦大学附属中山医院普外科, 麻醉科, 上海 200032;2. 复旦大学护理学院, 上海 200032 )
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摘要: |
目的: 探索完全植入式静脉输液港维护的更佳实践方案。 方法: 2015年4月—8月,对复旦大学附属中山医院北院区普外科25名护士进行完全植入式静脉输液港维护的分阶段性的质量审查,同时进行“护士知识问卷调查”和“患者注意事项问卷调查”及被维护患者并发症的调查。根据澳大利亚乔安娜·布里格斯研究中心(Joanna Briggs institute,JBI)的标准,首先进行完全植入式静脉输液港维护的基线质量审查,然后实施JBI完全植入式静脉输液港维护循证实践方案,并进行干预后的质量审查。 结果: 实施完全植入式静脉输液港维护循证实践方案后,在JBI完全植入式静脉输液港维护质量审查的9条标准中,5条标准完成率有了极大提高。“护士知识问卷调查”及“患者注意事项问卷调查”正确率都明显提高,基线质量审查时25例患者中1例发生并发症,干预后质量审查时25例患者中无并发症发生病例。 结论: JBI完全植入式静脉输液港维护循证护理标准能提高护士完全植入式静脉输液港维护能力及患者自我管理能力,降低并发症,但仍需不断完善。 |
关键词: 外科病房 完全植入式静脉输液港 护理 循证实践 |
DOI: |
分类号:R472 |
文献标识码:A |
基金项目:复旦大学JBI Fellowship证据临床应用科研项目(编号:FNF201552) |
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The Application of the Nursing Standard of the Totally Implantable Venous Access Ports in the Surgical Wards |
SHEN Yuehong1,XU Jianming1,ZHANG Xinping1,HUANG Hui1,LI Li1,HU Yan2,CHEN Yu2,GE Feng1,CHEN Xiangkun1
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1. Department of General Surgery, Department of Anesthesia, Zhongshan Hospital, Fudan University, Shanghai 20032, China;2. School of Nursing, Fudan University, Shanghai 200032, China
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Abstract: |
Objective: To explore a better practicing scheme of totally implantable venous access ports (TIVAP) maintenance. Methods: From Apr.to Aug. in 2015,5 General Surgery nurses in North District of Zhongshan Hospital, Fudan University, were under a phased quality review of TIVAP maintenance, meanwhile “Nurses Knowledge Questionnaire”and “Patient Questionnaire Notes”were handed, and complications of patients under maintenance were monitored. Following the standards of JBI, at first baseline quality maintenance review was practiced, then evidence-based scheme was practiced to receive the quality after invitation. Results: After this scheme practiced, in 5 of 9 standards, for JBI TIVAP maintenance quality review completing rates were highly increased. Two questionnaires correct rates were improved to some extent. One complication was found in 25 patients in previous baseline quality review, while after intervention, no complication was found. Conclusions: The evidence-based standards of JBI TIVAP maintenance can highly improve nurses, s maintenance skills and patients, self-management abilities, reduce the risk of complications, but it still need to be improved. |
Key words: General surgery totally implantable venous access ports Nursing Evidence-based practice |