摘要
目的 :将围手术期静脉血栓栓塞症预防与管理的最佳证据应用于临床实践并评价其效果,为提升临床静脉血栓栓塞症护理质量提供参考。方法 :遵循复旦大学循证护理中心的证据转化模式,结合临床现状制订策略。采用便利抽样法,选择2021年8月至2022年5月北京市某三级甲等医院13个外科病房的215例患者及在上述科室工作的323名护士作为研究对象。比较干预前后护士及患者对围手术期静脉血栓栓塞症相关知识的认知水平,以及护士对审查标准的执行率。结果:干预前后,护士的静脉血栓栓塞症相关知识得分分别为(79.13±13.97)、(87.37±12.91)分,差异有统计学意义(t=7.571,P<0.05);干预前后,患者的静脉血栓栓塞症相关知识得分分别为(4.55±2.11)、(6.52±1.75)分,差异有统计学意义(t=-7.456,P<0.05);干预后护士对各审查指标的执行率均高于干预前,差异有统计学意义(P<0.05)。结论 :通过制定围手术期患者静脉血栓栓塞症预防与管理最佳实践方案并应用于临床,可提高患者对围手术期静脉血栓栓塞症预防的认知及自我管理,提高护士对最佳证据执行的依从性,促进护理质量持续改进。
Objective:To apply the best evidence of prevention and management of perioperative Venous Thromboembolism to clinical practice and to evaluate its effect.Methods:According to the evidence-based clinical transformation model of Fudan University Evidence-based Nursing Center,and to formulate strategies based on the current clinical situation.From August 2021 to May 2022,215 patients and 323 nurses working in 13 surgical wards of a tertiary grade A hospital in Beijing were selected as subjects using convenience sampling method.The cognitive level of knowledge about Venous Thromboembolism and the implementation rate of review criteria were compared between nurses and patients before and after intervention.Results:The scores of nurses'knowledge about Venous Thromboembolism before and after intervention were 79.13±13.97 and 87.37±12.91,and the difference was statistically significant(t=7.571,P<0.05).Before and after intervention,the scores of patients'knowledge related to Venous Thromboembolism were 4.55±2.11 and 6.52±1.75,and the difference was statistically significant(t=-7.456,P<0.05).The implementation rate of all the indicators after intervention was higher than that before intervention,and the difference was statistically significant(P<0.05).Conclusion:The formulation and application of best practices can improve patients'awareness and self-management to prevent perioperative Venous Thromboembolism,enhance nurses'compliance with the implementation of the best evidences,and promote the continuous improvement of nursing quality.
作者
邵欣
李欣
旷璐
罗家音
SHAO Xin;LI Xin;KUANG Lu;LUO Jiayin(Department of Critical Care Medicine,Beijing Hospital,Beijing,100730,China)
出处
《中国护理管理》
CSCD
2023年第9期1344-1349,共6页
Chinese Nursing Management
基金
2023年度北京医院培养专项项目(BJ-2023-139)。
关键词
围手术期
静脉血栓栓塞症
最佳证据
循证实践
perioperative period
Venous Thromboembolism
best evidence
evidence-based practice
