中低流量氧气疗法最佳证据的多中心应用研究  

Multi-Center Application Study of the Best Evidence for Low-to-Medium Flow Oxygen Therapy

作　　者：赵桂凤 董薇 蒋杨萍 李增叶 栾玉泉 付艳芬 Zhao Guifeng;Dong Wei;Jiang Yangping;Li Zengye;Luan Yuquan;Fu Yanfen(Dali University,Dali,Yunnan 671000,China;The First Affiliated Hospital of Dali University,Dali,Yunnan 671000,China;People's Hospital of Dali Bai Autonomous Prefecture,Dali,Yunnan 671000,China;The First People's Hospital of Dali,Dali,Yunnan 671000,China;Fudan University,Shanghai 200433,China)

机构地区：[1]大理大学,云南大理671000 [2]大理大学第一附属医院,云南大理671000 [3]大理白族自治州人民医院,云南大理671000 [4]大理市第一人民医院,云南大理671000 [5]复旦大学,上海200433

出　　处：《大理大学学报》2021年第10期87-90,共4页Journal of Dali University

基　　金：复旦大学循证护理中心证据转化与临床应用项目(Fudanebn201822)。

摘　　要：目的:以澳大利亚循证卫生保健中心“证据临床应用模式”为指导,实施成人住院患者中低流量氧气疗法最佳证据临床实践。方法:查阅指南及系统评价纳入成人住院患者中低流量氧气疗法最佳证据,通过循证实践的方法实现证据向临床的转化。结果:成人非湿化中低流量氧气吸入治疗与湿化中低流量氧气吸入治疗相比,经皮动脉血氧饱和度(SPO_(2))、鼻黏膜出血发生率、鼻咽部干燥发生率差异均无统计学意义(P>0.05);通过障碍因素分析和对策实施,成人非湿化中低流量氧气吸入治疗在临床上得到顺利开展,实现降低氧气疗法费用和减少护士工作量的目的。结论:成人住院患者中低流量氧气疗法的最佳证据与实践尚存在差距,针对证据向临床转化的障碍因素从知识、制度、物质等方面提供支持,可以有效促进证据向临床的转化。Objective:To implement the best evidence-based clinical practice of low-to-medium flow oxygen therapy for adult inpatients under the guidance of the evidence-based healthcare of Joanna Briggs Institute.Methods:The best evidence of low-to-medium flow oxygen therapy for adult inpatients was included in the guidelines and systematic evaluation,and the evidence was transformed into clinical practice through evidence-based practice.Results:The differences of the incidence of percutaneous arterial oxygen saturation(SPO_(2)),nasal mucosal bleeding and nasopharyngeal dryness between adult non humidified low-to-medium flow oxygen inhalation and humidified low-to-medium flow oxygen inhalation were not statistically significant(P>0.05).Through the analysis of obstacle factors and the implementation of countermeasures,adult non humidified low-to-medium flow oxygen inhalation therapy has been carried out smoothly in clinic,and the purpose of reducing the cost of oxygen therapy and reducing the workload of nurses has been realized.Conclusion:There is still a gap between the best evidence and practice of low-to-medium flow oxygen therapy for adult inpatients.In view of the obstacles to the transformation of evidence to clinical,providing support from the aspects of knowledge,system and material can effectively promote the transformation of evidence to clinical practice.

关 键 词：氧气疗法 证据 审查 障碍分析 循证护理 

分 类 号：R472[医药卫生—护理学]