Iowa 循证实践模式在宫腔内人工授精术后患者卧床时间中的应用  

Application of evidence-based practice model in bed rest time of patients after intrauterine insemination

作　　者：张艳[1] 杨孟叶 钱佳蓉 刘青 钮芳芳 ZHANG Yan;YANG Mengye;QIAN Jiarong;LIU Qing;NIU Fangfang(Center of Reproduction and Genetics,the Affiliated Suzhou Hospital of Nanjing Medical University,Suzhou Municipal Hospital,Suzhou 215002,China)

机构地区：[1]南京医科大学附属苏州医院/苏州市立医院生殖与遗传中心,苏州市215002

出　　处：《护理管理杂志》2024年第3期252-256,共5页Journal of Nursing Administration

基　　金：苏州市民生科技-医疗卫生应用基础研究项目(SYSD2020136);苏州市立医院护理科研项目(Slyyhl202301)。

摘　　要：目的将宫腔内人工授精术后卧床休息时间最佳证据应用于临床并评价其效果。方法采用Iowa循证实践模式指导开展宫腔内人工授精术后卧床休息时间指导的实践,比较证据应用前后患者的舒适度、临床妊娠率、医护人员的相关知识水平以及各审查指标的执行率。结果证据应用后,患者舒适度及临床妊娠率未下降,差异无统计学意义(P>0.05),医护人员的知识水平有所提升(P<0.05),医护人员对新证据的执行率达到了100%,患者对新证据的执行率达到了83.53%及以上。结论宫腔内人工授精术后缩短卧床休息时间并不影响临床妊娠率,通过循证实践进一步提升了医护人员相关知识水平,优化了护理流程。Objective To apply the best evidence of bed rest time after intrauterine insemination to clinical practice and evaluate its effect.Methods The Iowa evidence-based practice model was used to guide the practice of bed rest time after intrauterine insemination.The comfort degree,clinical pregnancy rate,relevant knowledge level of medical staff and the implementation rate of each review index were compared before and after the application of evidence.Results After the application of the evidence,there was no statistically significant difference in patient comfort and treatment success rate(P>0.05),the knowledge level of medical staff was improved(P<0.05),the implementation rate of medical staff on the new evidence reached 100%,and the compliance rate of patients with the new evidence reached 83.53%or above.Conclusion Shortening bed rest time after intrauterine insemination does not affect the clinical pregnancy rate.Through evidence-based practice,the knowledge level of medical staff is further improved and the nursing process is optimized.

关 键 词：Iowa循证实践模式 宫腔内人工授精 术后卧床时间 

分 类 号：R473.71[医药卫生—护理学]