脊柱骨科术后患者深静脉血栓预防及管理循证实践方案的准备度评估

Evaluation of readiness of evidence-based practice for the prevention and management of deep vein thrombosis after spinal orthopedic surgery

目的了解在骨科开展“脊柱骨科术后患者深静脉血栓预防及管理循证实践方案”的循证准备情况,识别开展循证护理实践过程中的障碍因素,以促进证据的成功转化与应用。方法采用自制的一般资料调查表和循证护理实践准备度评估量表(CREBNA)对骨科164名护士进行问卷调查。结果CREBNA总得分为(135.99±14.52)分,占满分的87.10%,各分量表条目均分由高到低依次为:组织环境分量表(4.44±0.67)分、证据分量表(4.41±0.60)分和促进因素分量表(4.31±0.69)分,多元逐步回归分析显示不同循证实践了解程度是量表总得分的主要影响因素(P<0.05)。结论本研究中循证护理实践准备度较好,当前环境有利于循证实践方案的开展,在证据应用前管理者应明确变革中的障碍因素,制订个体化干预措施促进证据的临床应用。

Objective To understand the preparation of evidence-based nursing practice for postoperative venous thrombosis in the department of spine and orthopedics in our hospital,and to identify the obstacle factors in the process of evidence-based nursing practice so as to promote the successful transformation and application of evidence.Methods A questionnaire survey was conducted among 164 nurses in Department of Orthopedics of Wuhan Union Hospital in Hubei Province by using self-made general data questionnaire and Clinic Readiness of Evidence-Based Nursing Assessment(CREBNA).Results The total score of CREBNA was(135.99±14.52)points,accounting for 87.10%of the full score.The average score of each subscale item was from high to low:organization environment subscale(4.44±0.67)points,evidence subscale(4.41±0.60)points and promotion factor subscale(4.31±0.69)points.Multiple stepwise regression analysis showed that different levels of understanding of evidence-based nursing practice was the main influencing factor of spine orthopedic nurses′evidence-based practice readiness(P<0.05).Conclusion In this study,there were good level of readiness for evidence-based nursing practice and the current environment is conducive to the development of evidence-based practice programs.Before the application of evidence,managers should clarify the obstacles to change and formulate individual intervention measures to promote the clinical application of evidence.