建立慢性阻塞性肺疾病延续护理的循证实践

Development of evidence-based transitional care practice for chronic obstructive pulmonary disease

目的以护理循证为基础,建立内地慢性阻塞性肺疾病患者延续护理项目。方法检索1982-2007年MEDLINE和CINAHL数据库、Cochrane图书馆和中国期刊全文数据库近5年文献,进行归纳整合出最佳的文献证据,并参考和结合香港及内地的临床实践经验、专家意见和患者需要,设计研究方案;对主要的效果评价工具进行评定研究。结果建立了以循证为基础的慢性阻塞性肺疾病的4C护理模式,即全面性、合作性、协调性、延续性,以及具有信度和效度的成效指标。结论循证实践建基于最佳的文献证据、实践需要、患者需要和专业的判断。

Objective To develop evidence for the research：“Evaluation of a transitional care program for chronic obstructive pulmonary disease（COPD） in Guangzhou China： a randomized controlled trial”. Methods Evidence for the COPD transitional care intervention were integrated by synthesizing best research evidence,applying clinical experience,seeking for advice from muhidisciplinary experts and considering needs of patients. Results An Evidence-based protocol of the 4Cs COPD transitional care model was developed to guide the research implementation. Validity and reliability of research tools were established. Conclusion The best research evidence derives from muhiple resources including well-designed studies that address clinical and patient＇s needs with the substantiation of professional judgment.