大理大学学报 ›› 2021, Vol. 6 ›› Issue (10): 87-.DOI: 10. 3969/j. issn. 2096-2266. 2021. 10. 019

• 护理学 • 上一篇    下一篇

中低流量氧气疗法最佳证据的多中心应用研究

赵桂凤,董 薇,蒋杨萍,李增叶,栾玉泉,付艳芬   

  1. 1.大理大学,云南大理 6710002.大理大学第一附属医院,云南大理 6710003.大理白族自治州人民医院,云南大理 6710004.大理市第一人民医院,云南大理 6710005.复旦大学,上海 200433

  • 收稿日期:2020-05-22 修回日期:2020-08-01 出版日期:2021-10-15 发布日期:2021-12-11
  • 通讯作者: 付艳芬,副教授,博士,E-mail: 553165620@qq.com。
  • 作者简介:赵桂凤,副教授,主要从事护理管理研究。
  • 基金资助:
    复旦大学循证护理中心证据转化与临床应用项目(Fudanebn201822

Multi-Center Application Study of the Best Evidence for Low-to-Medium low Oxygen Therapy

Zhao Guifeng Dong Wei Jiang Yangping Li Zengye Luan Yuquan Fu Yanfen   

  1. 1. Dali University Dali Yunnan 671000 China 2. The First Affiliated Hospital of Dali University Dali Yunnan 671000 China 3. People's Hospital of Dali Bai Autonomous Prefecture Dali Yunnan 671000 China 4. The First People's Hospital of Dali Dali Yunnan 671000 China 5. Fudan University Shanghai 200433 China

  • Received:2020-05-22 Revised:2020-08-01 Online:2021-10-15 Published:2021-12-11

摘要:

目的:以澳大利亚循证卫生保健中心“证据临床应用模式”为指导,实施成人住院患者中低流量氧气疗法最佳证据临床实践。方法:查阅指南及系统评价纳入成人住院患者中低流量氧气疗法最佳证据,通过循证实践的方法实现证据向临床的转化。结果:成人非湿化中低流量氧气吸入治疗与湿化中低流量氧气吸入治疗相比,经皮动脉血氧饱和度(SPO2)、鼻黏膜出血发生率、鼻咽部干燥发生率差异均无统计学意义(P>0.05);通过障碍因素分析和对策实施,成人非湿化中低流量氧气吸入治疗在临床上得到顺利开展,实现降低氧气疗法费用和减少护士工作量的目的。结论:成人住院患者中低流量氧气疗法的最佳证据与实践尚存在差距,针对证据向临床转化的障碍因素从知识、制度、物质等方面提供支持,可以有效促进证据向临床的转化。

关键词: font-size:14px, ">氧气疗法, 证据, 审查, 障碍分析, 循证护理

Abstract:

Objective To implement the best evidence-based clinical practice of low-to-medium flow oxygen therapy for adult inpatients under the guidance of the evidence-based healthcare of Joanna Briggs Institute. Methods The best evidence of low-to-medium flow oxygen therapy for adult inpatients was included in the guidelines and systematic evaluation and the evidence was transformed into clinical practice through evidence-based practice. Results The differences of the incidence of percutaneous arterial oxygen saturationSPO2), nasal mucosal bleeding and nasopharyngeal dryness between adult non humidified low-to-medium flow oxygen inhalation and humidified low-to-medium flow oxygen inhalation were not statistically significant (P>0.05. Through the analysis of obstacle factors and the implementation of countermeasures adult non humidified low-to-medium flow oxygen inhalation therapy has been carried out smoothly in clinic and the purpose of reducing the cost of oxygen therapy and reducing the workload of nurses has been realized. Conclusion There is still a gap between the best evidence and practice of low-to-medium flow oxygen therapy for adult inpatients. In view of the obstacles to the transformation of evidence to clinical providing support from the aspects of knowledge system and material can effectively promote the transformation of evidence to clinical practice.


Key words:

"> oxygen therapy">, evidence">, review">, obstacle analysis">, evidence-based nursing

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