摘要
目的:整合现有证据,基于我国国情和临床现况构建产后盆底康复护理管理的循证实践方案。方法:以知识转化模型为理论指导,成立循证实践研究小组,通过文献研究及临床现况调查确定研究问题,检索、评鉴、整合相关的证据,进行临床适用性评价,明确证据转化的阻碍因素,制定相应的行动策略,完成产后盆底康复护理管理循证实践方案的构建。结果:共纳入7部循证指南、4部证据总结、3篇专家共识,构建产后盆底康复团队管理原则及相关人员培训规划、产后盆底康复管理流程及产后盆底康复健康宣教手册为主体内容的循证实践方案。结论:本研究构建的循证实践方案基于证据、在具体临床情境下充分考虑利益相关者的价值观和意愿形成,方案内容全面完整易于理解、推荐意见清晰明确,可为临床产后盆底康复护理管理提供借鉴和指导。
Objective:Integrating the best available evidence,based on China's national situation and clinical situation,we formed an evidence-based practice program for postpartum pelvic floor rehabilitation management.Methods:Based on the theory of the KTA model,we established an evidence-based practice research group.Through literature research and clinical status surveys,we determined research problem,retrieved,evaluated,and integrated the relevant evidence,conducted clinical applicability,identified the obstacles of evidence transformation,formulated the corresponding action strategies,and completed the construction of evidence-based practice plans for postpartum pelvic floor rehabilitation management.Results:A total of 7 evidence-based guidelines,4 evidence summaries,and 3 expert consensuses were included,which were used to construct the evidence-based practice program of postpartum pelvic floor rehabilitation management.The main contents of the program included team management principles,training plans,management processes and an education manual.Conclusion:The evidence-based practice program constructed in this study is based on the best evidence,and fully considers the values and wishes of stakeholders in the specific clinical situation.The content of the scheme is comprehensive,easy to understand,and the recommendations are clear,which can provide reference and guidance for clinical postpartum pelvic floor rehabilitation management.
作者
丛雪
徐杨
王斗
周雅静
李学靖
曲畅
张小艳
郝玉芳
CONG Xue;XU Yang;WANG Dou;ZHOU Yajing;LI Xuejing;QU Chang;ZHANG Xiaoyan;HAO Yufang(Beijing Friendship Hospital,Capital Medical University,Beijing,100050,China)
出处
《中国护理管理》
CSCD
2021年第4期526-532,共7页
Chinese Nursing Management
基金
北京中医药大学2019年度基本科研业务费项目(2019-JYB-XS-121)。
关键词
产后
盆底康复
循证实践方案
证据转化
postpartum
pelvic floor rehabilitation
evidence-based practice program
evidence transform