提高呼吸系统疾病患者痰标本采集合格率的循证实践

doi:10.16460/j.issn1008-9969.2022.24.043

摘要/Abstract

摘要： 目的探讨基于最佳证据的提高痰标本合格率方案的临床实践并评价其效果。方法遵循JBI临床证据实践应用模式,包含证据应用前基线审查、证据应用实践变革及证据应用后效果再审查3个阶段。将最佳证据转化成 11条审查指标,应用于提高呼吸系统疾病患者痰标本合格率。比较证据应用前、后护士对最佳证据的知晓率、执行率以及痰标本的合格率。结果证据应用后,护士对痰标本留取相关的理论、操作考核成绩均得到明显提高（P<0.001）。11 项审查指标中,除指标9在证据应用前执行率已为100%,指标4改善不明显,结合收治患者群体目前的现状经专家讨论删除外,其余指标证据应用后的执行率均显著高于证据应前（P<0.001）。结论将基于循证的最佳证据应用于临床实践,能明显提高护士对提高痰标本合格率的各项证据的知晓率、执行率,提高呼吸系统疾病患者痰标本的合格率,为医生提供用药指导,缩短住院时间。

关键词: 痰标本采集, 合格率, 循证实践

Abstract: Objective To explore the best evidence-based clinical practice of improving the qualified rate of sputum collection in patients with respiratory diseases and evaluate its effect. Methods The JBI clinical evidence practice application model was followed, including baseline audit, evidence application practice reform and effect assessment after evidence application. The best evidence was translated into eleven review indicators and applied to patients with respiratory diseases. The compliance rate of the best evidence by nurses before and after evidence application, as well as the qualified rate of sputum collection were compared. Results After evidence application, the scores of nurses'theoretical test and operational practice of sputum collection were significantly improved (P<0.001). Among the eleven audit criteria, the implementation rate of criterion nine was 100% before the evidence application. The criterion four was not significantly improved, and was deleted after discussion by experts based on the context of the department. The implementation rate of the remaining criteria were significantly improved after evidence application (P<0.001). Conclusion Best evidence-based strategies for improving the qualified rate of sputum collection in patients with respiratory diseases can enhance the compliance of nurses, improve the qualified rate of sputum collection, and shorten the average duration of hospitalization.

Key words: sputum collection, qualified rate, evidence-based practice

中图分类号:

R473.56

侯香传, 伍艳婷, 周凯琪, 莫怡坚, 黄丽香, 刘伊莎. 提高呼吸系统疾病患者痰标本采集合格率的循证实践[J]. 护理学报, 2022, 29(24): 43-48.

HOU xiang-chuan, WU yan-ting, ZHOU kai-qi, MO yi-jian, HUANG li-xiang, LIU yi-sha. Best Evidence-based Practice for Improving Qualified Rate of Sputum Collection in Patients with with Respiratory Diseases[J]. Journal of Nursing, 2022, 29(24): 43-48.

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