消化道出血患者口渴非药物干预的循证护理实践

Evidence-based nursing practice of non-pharmacological interventions for thirst in patients with gastrointestinal bleeding

目的探讨消化道出血患者口渴非药物干预的循证护理实践效果,以期提高患者舒适度。方法组建循证护理实践小组,确定临床问题,获取最佳证据,以知识转化模式为指导,结合临床情景与利益相关者主观意愿,对最佳证据进行筛选,评价总结出19条最佳证据,制定11条质量审查指标,选取2023年7月至2024年2月该科收治的62例消化道出血患者作为研究对象,按循证实践时间将2023年7-10月32例患者作为对照组,2023年11月至2024年2月30例患者作为循证组,在证据应用前进行基线审查,分析其障碍因素,制定解决策略,最后进行证据临床应用。比较证据实施前后护士对实践证据的知晓率、对审查指标的执行率及2组患者口渴强度、口渴痛苦的程度及对干预措施的满意度。结果循证护理实践后14名护士对实践证据的知晓率从42.85%~64.29%上升至92.85%~100.00%,对主要审查指标的执行率从40.63%~84.38%上升至95.00%~100.00%,循证组患者口渴程度、口渴痛苦程度均低于对照组,对护理服务满意度高于对照组,差异均有统计学意义(P<0.05)。结论消化道出血患者口渴非药物干预的循证护理实践可提高护士对实践证据的知晓率、对审查指标的执行率,降低患者口渴程度、口渴痛苦程度,提高患者对护理服务满意度。

Objective To explore the effect of evidence-based nursing practice of non-pharmacological intervention for thirst in patients with gastrointestinal bleeding,with a view to improving patient comfort.Methods The evidence-based nursing practice group was formed to identify clinical problems and obtain the best evidence,the knowledge translation model was used as a guide,combined clinical scenarios with the subjective wishes of stakeholders,screened the best evidence,evaluated and summarised the 19 pieces of best evidence,and developed 11 quality review indicators.A total of 62 patients with gastrointestinal bleeding from July 2023 to February 2024 were selected for the study,and 32 patients from July 2023 to October 2023 as the control group and 30 patients from November 2023 to February 2024 as the evidence-based group according to the time of evidence-based practice.A baseline review was conducted prior to the application of the evidence to analyze the barriers and develop strategies to address them,and finally the clinical application of the evidence was carried out.The nurses′knowledge of the evidence for practice,the rate of implementation of the review indicators,the intensity of thirst,the degree of thirst pain and the satisfaction with the interventions in the two groups before and after the implementation of the evidence were compared.Results After evidence-based nursing practice,a total of 14 nurses′knowledge of the evidence of practice increased from 42.85%-64.29%to 92.85%-100.00%,and the implementation rate of the main review indicators increased from 40.63%-84.38%to 95.00%-100.00%.The degree of patients′thirst and the degree of pain of thirst in the evidence-based group were lower than that of the control group,and their satisfaction with the nursing service was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Evidence-based nursing practice of non-pharmacological interventions for thirst in patients with gastrointestinal bleeding improves nurses′knowledge of the evidence for practice,implementation of the review indicators,reduces the level of patients′thirst and thirst pain,and improves patients′satisfaction with nursing services.