术后患者中医药与相关康复管理的循证管理实践研究

目的:研究术后患者中医药及相关康复管理的循证管理实践方法。方法:以2021年4—8月医院收治的66例耳鼻喉头颈外科患者作为对照组,术后实施常规管理。以2021年9月—2022年1月医院收治的66例耳鼻喉头颈外科患者作为观察组,术后实施中医药康复管理。观察两组管理前后功能恢复情况、术后康复知识了解程度变化,比较两组术后康复进程。结果:两组管理前各项功能(吞咽、嗅觉、语言)相关评分差异无统计学意义(P>0.05);管理后,观察组各项功能(吞咽、嗅觉、语言)评分明显高于对照组(P<0.05)。两组管理前各项术后康复知识(术后防病于未然、术后防患于未然、术后防后顾之忧、术后防微杜渐)了解程度评分差异无统计学意义(P>0.05);管理后,观察组各项术后康复知识(术后防病于未然、术后防患于未然、术后防后顾之忧、术后防微杜渐)了解程度评分明显高于对照组(P<0.05)。观察组术后康复进程明显较对照组快,其首次肛门排气方面、首次下床方面、停止输液方面、住院方面的时间明显短于对照组(P<0.05)。结论:从防病于未然、防患于未然、防后顾之忧及防微杜渐方面对术后患者实施中医药康复管理可以进一步促进患者吞咽、嗅觉、语言等功能恢复,更有利于帮助其提高术后康复知识了解程度,使其术后康复进程能够进一步加快。

Bakri球囊管理循证实践在前置胎盘产后出血患者中的应用

目的:研究Bakri球囊管理循证实践在前置胎盘产后出血患者中的应用效果。方法:回顾性分析2019年1-12月六盘水市人民医院收治的40例前置胎盘产后出血患者的临床资料作为常规组,且选取2020年1月-2022年6月本院收治的40例前置胎盘产后出血患者的临床资料作为研究组。研究组使用Bakri球囊管理循证实践,常规组患者使用常规管理。比较两组球囊放置后24 h出血量、住院时间、并发症发生率、止血成功率、知识知晓率和执行率。结果:研究组球囊放置后24 h出血量为(120.10±12.16)m L、住院时间为(5.16±1.25)d,均优于常规组的(180.41±12.20)m L、(7.48±1.46)d,差异均有统计学意义(P<0.05)。研究组并发症发生率为2.50%、止血成功率为100.00%,均优于常规组的17.50%、87.50%,差异均有统计学意义(P<0.05)。研究组培训后知识知晓率、执行率均为100.00%,均高于常规组的87.50%、85.00%,差异均有统计学意义(P<0.05)。结论:在前置胎盘产后出血患者中应用Bakri球囊管理循证实践具有确切效果,可以有效减少患者24 h出血量,缩短患者住院时间,降低并发症发生率、提高止血成功率,且可以有效提升护理人员知识、能力水平,值得临床推广和应用。

Needs assessment and expectations regarding evidence-based practice knowledge acquisition and training activities:A cross-sectional study of healthcare personnel in China

Objectives Evidence-based healthcare contributes to the improvement of healthcare quality and informs healthcare decision-making.The provision of timely high-quality evidence is always required to fulfil the ever-changing needs and expectations of healthcare personnel.This study aimed to assess the needs and expectations of healthcare personnel regarding evidence-based healthcare in China.Methods We conducted a cross-sectional online survey from December 8,2020 to January 15,2021 involving 901 participants across China.Healthcare providers,policy makers,researchers and educators,and full-time postgraduate medical and nursing students working/living in China were eligible to participate.A self-developed questionnaire was used.Results Participants generally agreed that health-related research evidence was beneficial.Evidence-based resources,such as Cochrane resources,were only known or used by about half of the respondents due to difficulties related to availability and accessibility.Various types of resources,topics of evidence,and themes of workshops were of particular interest to most of the participants.Conclusions The dissemination and translation of evidence,provision of more support in evidence availability,offering evidence-based training,and determining the most in-demand research areas have been identified as priority areas of work which could fulfil the needs and expectations of healthcare personnel in China.