重症监护室管道管理的循证实践  

Evidence-based practice for intensive care unit pipeline management

作　　者：李明[1] 王振华[2] 田迎迎 LI Ming;WANG Zhenhua;TIAN Yingying(Tengzhou Central People′s Hospital,Shandong 277599 China)

机构地区：[1]滕州市中心人民医院,山东277599 [2]聊城市人民医院

出　　处：《循证护理》2024年第13期2311-2315,共5页Chinese Evidence-Based Nursing

基　　金：济宁医学院2020年度实践教学教育科学研究课题,编号:JYSJ2020C7。

摘　　要：目的:探讨基于循证的重症监护室(ICU)管道管理循证实践效果。方法:采用Joanna Briggs Institute(JBI)的临床证据实践应用系统(PACES),对ICU病人管道管理相关资料进行检索并评价,总结出17条最佳证据,针对纳入的审查指标逐项筛查并分析,制定应对措施并实施。结果:证据应用后,17条审查完成率明显提高;ICU护士管道风险预见性能力、管道监管力度、管道管理意识性、管道固定方法和风险评估的正确性得分较证据应用前明显提高,差异均有统计学意义(P<0.05);胃管、尿管、脑室引流管、胸腔闭式引流管、腰大池引流管固定规范率明显提高,差异有统计学意义(P<0.05)。结论:基于循证的ICU管道管理循证实践规范了临床管道管理,提高了护理服务质量。Objective:To investigate the application effect of evidence-based tube management in the intensive care unit(ICU).Methods:The relevant literature on tube management in ICU patients was retrieved from The Clinical Evidence Practice Application System(PACES)of Joanna Briggs Institute(JBI).The relevant literature was evaluated,and the 17 best pieces of evidence were summarized.The included review indicators were screened and analyzed to formulate countermeasures and implement them.Results:After the application of evidence,the completion rate of the 17-piece evidence was significantly improved.The scores of ICU nurses′tube risk prediction ability,tube supervision intensity,tube management awareness,tube fixation method,and correctness of risk assessment were significantly higher than those before the application of the evidence,and the differences were statistically significant(P<0.05).The standardization rate of fixation with gastric tubes,urinary tubes,ventricular drainage tubes,closed thoracostomy drain tubes,and lumbar cistern drainage tubes was significantly improved,and the difference was statistically significant(P<0.05).Conclusions:The evidence-based practice of ICU tube management standardizes clinical tube management and improves the quality of nursing services.

关 键 词：重症监护室 管道安全 护理 护理质量 循证实践 

分 类 号：R473[医药卫生—护理学]