全麻患者术中俯卧位管理的循证实践  

Evidence-based practice of prone position during the operation in patients undergoing general anesthesia

作　　者：刘瑞红 任震晴 崔丽丽[1] 张立元 窦红梅[1] 黄爱兵[3] Liu Ruihong;Ren Zhen-qing;Cui Lili;Zhang Liyuan;Dou Hongmei;Huang Aibing(Operating Room,People′s Hospital of Taizhou City,Taizhou 225399,China)

机构地区：[1]泰州市人民医院手术室,江苏泰州225399 [2]泰州市人民医院护理部,江苏泰州225399 [3]泰州市人民医院脊柱外科,江苏泰州225399

出　　处：《护理学杂志》2023年第6期50-54,58,共6页Journal of Nursing Science

基　　金：江苏省卫生健康委员会高层次卫生人才“六个一工程”拔尖人才项目(LGY2019037);泰州市人民医院院级课题(ZD202226)。

摘　　要：目的提取全麻患者术中俯卧位管理的最佳实践证据,分析临床应用效果。方法基于PIPOST原则确定循证问题,全面检索国内外文献数据库,提取最佳证据形成循证实践方案。比较证据应用前(84例)、后(93例)全麻下俯卧位手术患者压力性损伤发生率;同时比较证据应用前后68名护士的术中俯卧位管理相关知识得分及护士对7条审查指标的执行率。结果护士俯卧位管理知识考核成绩从证据应用前的66.53分提升至78.47分,审查指标总体执行率从60.03%提升到82.95%,患者压力性损伤发生率由11.90%降至3.23%(均P<0.05)。结论将全麻患者俯卧位管理的最佳证据应用于临床实践,可规范护理行为,降低全麻俯卧位患者术中压力性损伤发生率。Objective To extract the best practice evidence for intraoperative prone positioning of patients under general anesthesia and analyze its clinical effect.Methods Based on the PIPOST principle,studis on intraoperative prone positioning were retrieved,and the best evidence was extracted to form an evidence-based practice plan.The incidence of pressure injury was compared between the control group(n=84)and the experimental group(n=93).Meanwhile,the knowledge scores of intraoperative prone position management of 68 nurses and their implementation rates of the seven audit indicators before and after the intervention were compared.Results The nurses′prone position management knowledge score increased from 66.53 to 78.47 after the intervention,the overall implementation rate increased from 60.03%to 82.95%,and the incidence of pressure injury decreased from 11.90%to 3.23%(all P<0.05).Conclusion The application of the best evidence of prone position in general anesthesia patients,can standardize nursing behavior and lower the rate of pressure injury.

关 键 词：俯卧位 全身麻醉 手术 压力性损伤 体位管理 证据总结 手术室护理 循证护理 

分 类 号：R472.3[医药卫生—护理学]