摘要
目的:通过建立预防管理妊娠剧吐病人循证护理实践方案的基线审查,分析障碍因素,为证据的临床转化提供参考。方法:系统检索PubMed、EMbase、the Cochrane Library循证医学数据库、BMJ-Clinical Evidence、BMJ-Best Practice、Joanna Briggs Institute(JBI)循证卫生保健国际合作中心图书馆、加拿大安大略护理学会网站、美国国立指南库(NGC)、苏格兰学院间指南网络(SIGN)、中国知网、维普数据库、万方数据库等网站关于妊娠剧吐护理的证据,并对纳入文献进行质量评价,对符合质量标准的文献进行证据提取和汇总。结果:初检共获得文献73篇,最终纳入指南共4篇,其中临床实践指南3篇、共识性指南1篇。汇总证据纳入10条最佳证据,制定10条审查指标进行临床审查,基线审查结果显示2条审查指标执行率为0,5条审查指标低于35%,其他审查指标在80%~100%,护理人员对妊娠剧吐病人循证护理最佳证据认知不足。根据审查结果分析障碍因素及促进因素,制定行动策略。结论:妊娠剧吐病人的护理证据与临床实践尚存在较大差距,应针对制定的相应促进策略,推进证据在临床的转化应用。
Objective:Through establishing the baseline review of evidence-based nursing practice plan for prevention and management of hyperemesis gravidarum patients,to analyze the obstacle factors,and provide reference for clinical transformation of evidence.Methods:Evidence on hyperemesis gravidarum care were Systematically searched from PubMed,EMbase,the Cochrane Library Evidence-based Medicine database,BMJ-Clinical Evidence,BMJ-Best Practice,JBI Evidence-based Health Care International Cooperation Center Library,Ontario Nursing Association website,NGC,SIGN,CNKI,VIP,WanFang Database and other websites.The quality of the included avticles were evaluate,and the evidence of the literatures meeting the quality standards were extracted and summarized.Results:A total of 73 avticles were obtained in the initial examination,and 4 guidelines were included in the final examination,including 3 clinical practice guidelines and 1 consensus guideline.10 best evidences were included in the summary evidence,and 10 review indicators were formulated for clinical review.The baseline review results showed that the implementation rate of 2 review indicators was 0,5 review indicators were less than 35%,and other review indicators were in the range of 80%to 100%.Nursing staff had insufficient knowledge of the best evidence of evidence-based nursing for patients with hyperemesis gravidarum.According to the review results,the barriers and promoters were analyzed,and the action strategies were formulated.Conclusion:There is still a big gap between the nursing evidence of patients with hyperemesis gravidarum and clinical practice,so we should develop corresponding promotion strategies to promote the transformation and application of evidence in clinical practice.
作者
曾凤丹
阳晓晴
曹铭英
付少丽
ZENG Fengdan;YANG Xiaoqing;CAO Mingying;FU Shaoli(Chongqing Hospital of Traditional Chinese Medicine,Chongqing 400021 China)
出处
《循证护理》
2022年第23期3157-3161,共5页
Chinese Evidence-Based Nursing
基金
重庆市科卫联合中医药项目课题,编号:ZY201802071
复旦循证护理中心证据转化与临床应用项目,编号:Fudanebn201907。
关键词
妊娠剧吐
循证护理
审查指标
障碍因素
证据总结
hyperemesis gravidarum
evidence-based nursing
review indicators
obstacle factors
summary of evidence
作者简介
曾凤丹,主管护师,本科;通信作者:付少丽,E-mail:fsl6299@163.com。
