肝肿瘤患者术中非计划性低体温的循证护理实践

doi:10.16460/j.issn1008-9969.2019.05.030

摘要/Abstract

摘要： 目的将肝肿瘤患者术中非计划性低体温的最佳实践方案应用于临床,并评价其效果。方法本研究以John Hopkins循证护理实践转化模式为理论框架,将最佳证据结合研究者所在临床环境,制定肝肿瘤患者术中非计划性低体温的审查标准,在手术室开展质量审查;采用线上线下的培训方式,对护理人员进行培训,比较最佳证据应用前后护理人员对于最佳证据的知晓情况及执行情况。结果最佳证据应用后,肝肿瘤患者在麻醉30 min、麻醉60 min、麻醉90 min以及麻醉120 min的体温均较前有所好转（P<0.05）,血红蛋白质值较证据应用前升高（P<0.05）,护士对于最佳证据的知晓率和执行率明显高于证据应用前。结论通过制定和应用最佳实践方案,可降低术中低体温的发生率,促进护理持续质量改进。

关键词: 低体温, 肿瘤, 术中, 循证实践

Abstract: Objective To explore the effect of evidence-based nursing of inadvertent intraoperative hypothermia among patients with liver tumor. Methods The review standard of inadvertent intraoperative hypothermia was established based on the theoretical framework of evidence-based nursing practice transformation model of John Hopkins, the best evidence and clinical scenario and it was then implemented and evaluated in the operating room. The online and offline training were provided for nursing staff. The knowledge and implementation of the best evidence of the nursing staff before and after the application of the best evidence were compared. Results After the application of the best evidence, the body temperature of the patients with liver tumors 30, 60 and 90min after anesthesia and the hemoglobin value was higher (all P<0.05), and the nurses' awareness rate and execution rate of the best evidence were significantly higher than those before the training. Conclusion Evidence-based nursing reduces the rate of hypothermia and improves patience satisfaction and quality of clinical nursing.

Key words: hypothermia, cancer, surgery, evidence-based nursing

中图分类号:

R473.73

黄培培, 史平, 米元元, 张琼, 吴白女, 杨喜群, 鲍映雪, 陈肖敏. 肝肿瘤患者术中非计划性低体温的循证护理实践[J]. 护理学报, 2019, 26(5): 30-34.

HUANG Pei-pei, SHI Ping, MI Yuan-yuan, ZHANG Qiong, WU Bai-nv, YANG Xi-qun, BAO Ying-xue, CHEN Xiao-min. Evidence-based Nursing of Inadvertent Intraoperative Hypothermia for Patients with Liver Tumor[J]. Journal of Nursing, 2019, 26(5): 30-34.

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