重症急性胰腺炎病人静脉输液管理的循证护理实践  

Evidence-based nursing practice of intravenous infusion management in patients with severe acute pancreatitis

作　　者：杨雪梅[1] 吴光柳 刘芳[1] 刘慧梅 施灼芬 李美仙 YANG Xuemei;WU Guangliu;LIU Fang;LIU Huimei;SHI Zhuofen;LI Meixian(The Second Affiliated Hospital of Kunming Medical University,Yunnan 650101 China)

机构地区：[1]昆明医科大学第二附属医院,云南650101

出　　处：《循证护理》2023年第4期621-625,共5页Chinese Evidence-Based Nursing

摘　　要：目的:探讨重症急性胰腺炎(SAP)病人静脉输液管理的循证护理实践临床效果。方法:采用复旦大学循证护理中心的证据临床转化模式,通过基线审查、证据应用、证据应用后再审查3个阶段,比较应用证据前后各项指标的变化。结果:总结形成12条最佳实践证据,证据应用后12条审查指标执行率显著提高,病人输液并发症发生率低于证据应用前,护理人员SAP静脉输液管理知识水平高于证据应用前,差异均有统计学意义(P<0.05)。结论:通过对SAP病人的输液管理实施循证护理实践,可提高审查指标的执行率,降低静脉输液相关并发症发生率,提高护理人员相关知识水平。Objective:To explore the clinical effect of evidence-based nursing practice in the management of intravenous infusion in patients with severe acute pancreatitis(SAP).Methods:The clinical evidence transformation model of Evidence-based Care Center of Fudan University was adopted to compare the changes of indicators before and after the application of evidence through three stages:baseline review,evidence application,and evidence application review.Results:12 pieces of best practice evidence were summarized.After the application of evidence,the implementation rate of 12 review indicators was significantly improved,the incidence of infusion complications was lower than before the application of evidence,and the SAP management knowledge level of nursing staff was higher than before the application of evidence,the differences were statistically significant(P<0.05).Conclusions:Through the implementation of evidence-based nursing practice for SAP patients infusion management,it can improve the implementation rate of review indicators,reduce the incidence of venous infusion related complications,and improve the knowledge level of nursing staff.

关 键 词：重症急性胰腺炎 输液管理 证据 质量评价 循证实践 

分 类 号：R473.5[医药卫生—护理学]