成人尿石症患者尿液代谢评估标本采集方案的循证实践  

Evidence-based Practice of Specimen Collection Protocol for Assessment of Urine Metabolism in Adult Urolithiasis Patients

作　　者：王燕[1] 沈露明[1] 周萍[1] 肖蕾[2] 徐彦[1] 陈雪花[1] WANG Yan;SHEN Luming;ZHOU Ping;XIAO Lei;XU Yan;CHEN Xuehua(Department of Urology,Jiangsu Provincial Hospital of Traditional Chinese Medicine,Nanjing 210029,Jiangsu Province,China;Nursing Department,Jiangsu Hospital of Traditional Chinese Medicine)

机构地区：[1]江苏省中医院泌尿外科,江苏南京210029 [2]江苏省中医院护理部

出　　处：《军事护理》2022年第8期21-24,33,共5页MILITARY NURSING

基　　金：江苏省中医院课题(Y17005);中国药膳研究专委会课题(19229);江苏省研究生科研与实践创新计划项目(SJCX20-0596)。

摘　　要：目的基于最佳证据制定和应用成人尿石症患者尿液代谢评估标本采集方案,提高医护人员对专科检查认知水平,提高标本采集合格率。方法采用JBI(Joanna Briggs Institute)临床证据应用模式,2020年4月至2021年3月按照“基线质量审查-最佳证据临床应用-第2轮质量审查”3个步骤实施证据临床应用,比较证据应用前后医护相关知识得分和标本采集合格率。结果证据应用后医护认知水平提高,标本采集合格率提高。结论成人尿石症患者尿液代谢评估标本采集证据与实践有较大差距,开展循证实践有利于证据有效转化。Objective To construct a specimen collection protocol for assessment of urine metabolism in adult urolithiasis patients in clinical practice,and to improve the cognitive level of medical staff on specialized examination,and improve the qualified rate of specimen collection.Methods By referencing to Joanna Briggs Institute(JBI)model for evidence-based healthcare,a clinical application of the best evidences were implemented in three steps,namely baseline quality review,best evidence clinical application and second round of quality review from April 2020 to March 2021,and the scores of medical staff knowledge before and after evidence application and urine metabolic samples were compared.Results The medical cognition level and the qualified rate of specimen collection were both improved after the best evidence application.Conclusions There is a large gap between the evidence collection of urine metabolic assessment specimens in adult patients with urolithiasis,and the evidence-based practice is conducive to the effective transformation of evidence to clinical practice.

关 键 词：尿石症 24 h尿 代谢评估 循证护理 

分 类 号：R47[医药卫生—护理学] R828.1[医药卫生—临床医学]