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护理学报 ›› 2019, Vol. 26 ›› Issue (5): 30-34.doi: 10.16460/j.issn1008-9969.2019.05.030

• 循证护理 • 上一篇    下一篇

肝肿瘤患者术中非计划性低体温的循证护理实践

黄培培1, 史平1, 米元元2, 张琼, 吴白女1, 杨喜群, 鲍映雪, 陈肖敏   

  1. 1.湖州师范学院 护理学院,浙江 湖州313000;
    2.华中科技大学同济医学院附属协和医院 重症医学科,湖北 武汉430022;
    3.浙江省人民医院/杭州医学院附属人民医院 a.手术室;b.护理部,浙江 杭州 310014
  • 收稿日期:2018-10-21 发布日期:2020-07-14
  • 通讯作者: 陈肖敏（1965-）,女,浙江杭州人,本科学历,硕士研究生导师,主任护师。E-mail：chenxm7301@163.com
  • 作者简介:黄培培（1993-）,女,安徽阜阳人,本科学历,硕士研究生在读,护师。

Evidence-based Nursing of Inadvertent Intraoperative Hypothermia for Patients with Liver Tumor

HUANG Pei-pei1, SHI Ping1, MI Yuan-yuan2, ZHANG Qiong, WU Bai-nv1, YANG Xi-qun, BAO Ying-xue, CHEN Xiao-min   

  1. 1. School of Nursing, Huzhou University, Huzhou 313000, China;
    2. Dept. of Critical Care Medicine, Wuhan Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China;
    3a. Operating Room; 3b. Dept. of Nursing Administration, Zhejiang Provincial People's Hospital, People's Hospital Affiliated to Hangzhou Medical College, Hangzhou 310014, China;
  • Received:2018-10-21 Published:2020-07-14

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摘要： 目的 将肝肿瘤患者术中非计划性低体温的最佳实践方案应用于临床,并评价其效果。方法 本研究以John Hopkins循证护理实践转化模式为理论框架,将最佳证据结合研究者所在临床环境,制定肝肿瘤患者术中非计划性低体温的审查标准,在手术室开展质量审查;采用线上线下的培训方式,对护理人员进行培训,比较最佳证据应用前后护理人员对于最佳证据的知晓情况及执行情况。结果 最佳证据应用后,肝肿瘤患者在麻醉30 min、麻醉60 min、麻醉90 min以及麻醉120 min的体温均较前有所好转（P<0.05）,血红蛋白质值较证据应用前升高（P<0.05）,护士对于最佳证据的知晓率和执行率明显高于证据应用前。结论 通过制定和应用最佳实践方案,可降低术中低体温的发生率,促进护理持续质量改进。

关键词: 低体温, 肿瘤, 术中, 循证实践

Abstract: Objective To explore the effect of evidence-based nursing of inadvertent intraoperative hypothermia among patients with liver tumor. Methods The review standard of inadvertent intraoperative hypothermia was established based on the theoretical framework of evidence-based nursing practice transformation model of John Hopkins, the best evidence and clinical scenario and it was then implemented and evaluated in the operating room. The online and offline training were provided for nursing staff. The knowledge and implementation of the best evidence of the nursing staff before and after the application of the best evidence were compared. Results After the application of the best evidence, the body temperature of the patients with liver tumors 30, 60 and 90min after anesthesia and the hemoglobin value was higher (all P<0.05), and the nurses' awareness rate and execution rate of the best evidence were significantly higher than those before the training. Conclusion Evidence-based nursing reduces the rate of hypothermia and improves patience satisfaction and quality of clinical nursing.

Key words: hypothermia, cancer, surgery, evidence-based nursing

中图分类号: 

  • R473.73
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