主动脉夹层患者围手术期管理的循证实践
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女,本科,主任护师,总护士长

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2023年华中科技大学同济医学院附属同济医院科研基金护理专项重点项目(2023C09);中华医学会杂志社2022~2023年护理学科研究课题项目(CMAPH-NRI2022063);2024年华中科技大学同济医学院附属同济医院科研基金护理专项一般项目(2024D30)


Evidence-based practice for perioperative management of patients with aortic dissection
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    目的 运用知识转化框架开展主动脉夹层患者围手术期管理的循证实践,并评价应用效果。方法 通过寻找证据、将证据引入临床情境、制订循证管理方案等步骤,于2024年11月至2025年2月将主动脉夹层围手术期管理证据应用于临床,比较循证实践实施前后护士对主动脉夹层围手术期管理知识得分、各项审查指标执行率、患者术后并发症发生情况、ICU停留时间及住院时间。结果 研究制订了22项审查指标。循证实践实施后,护士对主动脉夹层围手术期管理证据的认知水平提高、15项审查指标的执行率显著提升(均P<0.05);患者ICU停留时间及住院时间显著缩短(均P<0.05)。结论 主动脉夹层患者围手术期管理策略的循证实践能提高护士相关知识技能,规范临床护理行为,优化患者健康结局,加速其术后康复进程。

    Abstract:

    Objective To apply the Knowledge-to-Action framework to conduct evidence-based practice for the perioperative management of patients with aortic dissection and to evaluate its application effects.Methods From November 2024 to February 2025, evidence for perioperative management of aortic dissection was searched and introduced into clinical settings, and an evidence-based protocol was developed and implemented.Pre- and post-implementation comparisons were made regarding nurses′ knowledge scores on perioperative management, the execution rates of various audit indicators, incidence of postoperative complications, intensive care unit (ICU) stay duration, and length of hospitalization.Results A total of 22 audit indicators were established.After implementation of evidence-based practice, nurses′ knowledge related to perioperative management evidence of aortic dissection significantly improved, and the execution rates of 15 audit indicators increased significantly (all P<0.05).Additionally, patients′ ICU stay and hospitalization time were significantly shortened (both P<0.05).Conclusion The implementation of evidence-based perioperative management strategies for patients with aortic dissection can improve nurses′ relevant knowledge and skills, stan-dardize clinical nursing behaviors, optimize patient health outcomes, and accelerate postoperative recovery.

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周雁荣,张舵,王兰,肖琦,曾莹,吴前胜,陈钊,赵娅,胡凯利,余小燕.主动脉夹层患者围手术期管理的循证实践[J].护理学杂志,2025,(15):29-33

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  • 收稿日期:2025-03-12
  • 最后修改日期:2025-05-16
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  • 在线发布日期: 2025-08-25