减少日间病房妇科腹腔镜手术后患者恶心呕吐发生率的循证实践

Evidence based practice of reducing the incidence of postoperative nausea and vomiting patients in gynecological laparoscopic surgery in day ward

目的探讨实施日间病房妇科腹腔镜手术后恶心呕吐发生率的循证实践。方法以基于证据的持续质量改进模式为理论框架,于2020年4-11月,按照证据获取、现状审查、证据引入和效果评价4个阶段将循证实践应用于日间病房妇科腹腔镜手术患者,比较循证实践应用前后日间病房妇科腹腔镜手术后患者术后恶心呕吐发生率等指标的变化。结果循证实践应用了9条术后恶心呕吐管理的证据并把证据转化为10条审查指标,妇科日间腹腔镜手术后患者术后恶心发生率和强度降低,术后恶心呕吐发生率降低(P<0.05)。结论通过循证实践对日间病房妇科腹腔镜手术后患者进行管理,可有效降低日间病房妇科腹腔镜手术患者术后恶心呕吐发生率,为改善日间病房妇科腹腔镜手术患者术后恶心发生率的管理提供参考。

Objective To implement the evidence-based practice of postoperative nausea and vomiting after gynecological laparoscopic surgery in day ward and explore its influence on the incidence of postoperative nausea and vomiting.Method Based on the theoretical framework of evidence-based continuous quality improvement model,evidence-based practice was applied to gynecological laparoscopic surgery patients in day ward from April 2020 to November 2020 according to four stages of evidence acquisition,status review,evidence introduction and effect evaluation,and to compare the incidence of postoperative nausea and vomiting before and after the application of evidence-based practice.Results Ten pieces of evidence were used in evidence-based practice.After evidence-based practice,the incidence and intensity of postoperative nausea and vomiting in patients with gynecological daytime laparoscopic surgery were reduced(P<0.05).Conclusion It can effectively reduce the incidence of postoperative nausea and vomiting in patients with gynecological laparoscopic surgery in day ward,and provide reference for the management of postoperative nausea and vomiting in patients with gynecological laparoscopic surgery in day ward.