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首页> 中文期刊> 《中国临床医学》 >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

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

         
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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JB I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JB I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。%Objective:To explore a better practicing scheme of totally implantable venous access ports (TIVAP) maintenance . Methods :From Apr .to Aug .in 2015 ,25 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 .

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