预防乳腺癌病人上臂植入式输液港感染的循证实践  

Evidence-based practice of prevention of arm implantable port-related infection in patients with breast cancer

作　　者：王慧欣 黄丽梅[1] 付攸缘[1] 刘杨晨[1] 赵慧慧 吴加花[1] 周春姣[1] 魏琳[1] 林美珍[1] 张广清 WANG Huixin;HUANG Limei;FU Youyuan;LIU Yangchen;ZHAO Huihui;WU Jiahua;ZHOU Chunjiao;WEI Lin;LIN Meizhen;ZHANG Guangqing(Guangdong Provincial Hospital of Traditional Chinese Medicine,Guangdong 510120 China)

机构地区：[1]广东省中医院,广东510120 [2]南方医科大学南方医院

出　　处：《循证护理》2024年第19期3474-3480,共7页Chinese Evidence-Based Nursing

基　　金：2018年广东省护理学会护理科研课题,编号:gdhlxueh2019zx043。

摘　　要：目的:开展预防乳腺癌病人上臂植入式输液港感染的循证实践,寻找最佳证据并应用于临床,以降低感染发生率。方法:遵循Joanna Briggs Institute(JBI)临床证据实践应用模式,包括基线审查、证据转化并应用于临床实施变革、证据应用后审查3个阶段。检索中英文数据库,获取预防上臂植入式输液港感染最佳策略的证据,提取出21条证据,根据FAME结构采纳其中16条证据,转化为16条审查指标,应用于临床实践并评价其效果。结果:证据应用后,病人上臂植入式输液港感染发生率低于证据应用前(P<0.05),护士及病人上臂植入式输液港知识调查问卷得分高于证据应用前(P<0.05),16条审查指标,除指标3、6、11~15执行率在证据应用前已达100%,其余9项审查指标执行情况均优于证据应用前(P<0.05)。结论:预防上臂植入式输液港感染的循证实践可降低感染发生率,规范上臂植入式输液港的培训和管理,提高护士专业知识水平,提高病人输液港维护知识掌握程度。Objective:To carry out the evidence-based practice of prevention of arm implantable port-related infection in patients with breast cancer,found the best evidence and applied it in clinical practice to reduce the incidence of infection.Methods:Following the JBI clinical evidence practical application model,there were three stages:the previous baseline review,the changes in evidence application practice,and the effect of the application of evidence.Searched for the Chinese and English databases,obtained evidence of the best strategy of preventing arm implantable port-related infection,and 21 pieces of evidence were extracted,and 16 pieces of evidence were adopted according to the FAME structure,which were converted into 16 review indicators,which were applied to clinical practice and evaluated their effects.Results:The incidence arm implantable port-related infection in patients after the application of evidence was lower than before the application of evidence(P<0.05),the scores of the nurse and patient knowledge questionnaire were higher than before application(P<0.05).Among the 16 indicators reviewed,except for indicators 3 and 6 and 11-15,the implementation rate reached 100%before the application,and the implementation of the remaining 9 indicators was better than before the application of the evidence(P<0.05).Conclusion:The evidence based practice of prevention of arm implantable port-related infection in patients with breast cancer can reduce the incidence of arm implantable port-related infection,standardize the training of the arm implantable port,and improve the professional knowledge level of nurses and improve the knowledge of infusion tube maintenance of patients.

关 键 词：乳腺癌 上臂植入式输液港感染 预防 循证实践 循证护理 

分 类 号：R473.73[医药卫生—护理学]