儿童中心静脉导管维护与拔除最佳证据的临床应用

Clinical Application of the Best Evidence for Maintenance and Removal of Pediatric Central Venous Catheter

目的将儿童中心静脉导管维护与拔除的最佳证据应用于临床实践,提高护士循证知识知晓度及循证行为依从性,规范儿童中心静脉导管维护及拔除规程。方法遵循JBI标准程序,借助健康服务领域研究成果应用的行动促进框架,开展证据应用前的基线审查和证据应用后变革效果的2轮审查,分析证据应用过程中的障碍因素,制订行动方案,比较证据应用前后的护士循证知识的知晓度及循证行为依从性。结果证据应用后,护士循证知识知晓度明显提高,循证行为依从性明显改善。结论儿童中心静脉导管维护与拔除的最佳证据应用实践,对指导临床工作具有十分重要的意义。

Objective To apply the best evidence of children’s Central Venous Catheter(CVC)maintenance and removal to clinical practice aiming to improve nurses’awareness of evidence-based knowledge and compliance with evidence-based behavior,and standardize maintenance and removal procedures.Methods The baseline review before the evidence application and the two-round review was carried out following the JBI standard procedures with the help of i-PARIHS.The obstacles factors in the evidence application process were analyzed,action plans were settled,and indicators before and after the evidence application were caompared.Results The awareness of evidence-based knowledge of nurses and the compliance with evidence-based behavior had been significantly improved after the evidence application.Conclusions The best evidence application practice for maintenance and removal of children’s CVC is of great significance for guiding clinical work.