降低婴幼儿外周静脉血标本不合格率的循证实践
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女,硕士,主管护师

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Evidence-based practice to reduce the incidence of unqualified peripheral venous blood specimens in infants and young children
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    摘要:

    目的 进行降低婴幼儿外周静脉血标本不合格率的循证实践,提高护理质量。方法 以证据的持续质量改进模式图为理论框架,通过证据获取、现状审查、证据引入及效果评价4个阶段,总结婴幼儿外周静脉血标本采集相关的29条最佳证据,进行可行性、适宜性、有效性、临床意义评价后,筛选出18条证据,制订17个审查指标及审查方法。证据应用前对58例患儿进行基线审查,分析障碍因素,制订实践方案,证据应用后对63例患儿进行再审查评价效果。结果 证据应用后,7条审查指标执行率显著提高,婴幼儿外周静脉血标本不合格率显著降低,护士婴幼儿外周静脉血标本采集的相关知识得分显著提高(均P<0.05)。结论 循证实践可促进护士规范采集外周静脉血标本,降低婴幼儿外周静脉血标本不合格率。

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    Objective To reduce the incidence of unqualified peripheral venous blood specimens in infants and young children through implementing evidence-based practice, thereby improving nursing quality.Methods Utilizing the "Evidence-Based Continuous Quality Improvement Model" as the theoretical framework, a total of 29 pieces of best evidence related to the collection of peripheral venous blood specimens in infants and young children were summarized through four stages:evidence acquisition, current status review, evidence implementation, and outcome evaluation.After evaluating the feasibility, appropriateness, effectiveness, and mea-ningfulness, 18 pieces of evidence were selected, and 17 review indicators along with evaluation methods were developed.Prior to evidence application, 58 children underwent baseline reviews to analyze barriers, and a practical plan was formulated.Following evidence application, 63 children were re-evaluated to assess the outcomes.Results After the application of evidence-based practices, the execution rates of 7 review indicators significantly increased, and the incidence of unqualified peripheral venous blood specimens decreased significantly; moreover, nurses′ knowledge scores related to the collection of peripheral venous blood specimens in infants and young children significantly improved (all P<0.05).Conclusion Evidence-based practice can promote standar-dized collection of peripheral venous blood specimens by nurses, thereby reducing the incidence of unqualified specimens in infants and young children.

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熊紫薇,史雯嘉,蔡晓菡,严鹏,孔珊珊.降低婴幼儿外周静脉血标本不合格率的循证实践[J].护理学杂志,2025,(7):44-49+85

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  • 收稿日期:2024-10-05
  • 最后修改日期:2024-12-20
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  • 在线发布日期: 2025-05-12