造血干细胞移植患者膳食教育的循证护理实践
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女,硕士,主任护师,护士长

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华中科技大学同济医学院护理学院自主创新研究(ZZXC2022016)


Evidencebased nursing practice of dietary education for patients receiving hematopoietic stem cell transplantation
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    目的 应用基于最佳证据的造血干细胞移植患者膳食教育方案,并评价其循证实践效果。方法 以血液病房45名护理人员、80例造血干细胞移植患者(基线审查组与循证实践组各40例)为研究对象。基线审查组采用常规护理。循证实践组实施循证为基础的膳食教育:基于证据制订审查指标,基于指标进行基线审查,并分析促进和障碍因素,实施循证护理实践。结果 证据应用后,护理人员的造血干细胞移植膳食教育知识得分由(75.24±9.25)分提升至(92.64±4.41)分,应用前后比较,差异有统计学意义(P<0.05);膳食教育行为质量控制得分高于应用前。循证实践组患者的膳食管理知识得分为(83.40±9.38)分,基线调查组(66.15±8.75)分,应用前后比较,差异有统计学意义(P<0.05);8项膳食管理行为指标中的3项显著高于基线调查组(均P<0.05)。结论 造血干细胞移植膳食教育的循证护理实践能够优化护理人员膳食教育相关知识结构,规范其健康教育指导行为,进一步提高造血干细胞移植患者膳食管理的科学性。

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    Objective To construct and apply a clinical dietary education program developed based on the best evidence for patients receiving hematopoietic stem cell transplantation, and to evaluate its application effects.Methods From February to March 2023, a total of 80 patients undergoing hematopoietic stem cell transplantation [40 in the baseline review group and 40 in the evidence-based practice (EBP) group] and 45 nurses in the hematology department were selected.The baseline review group received routine nur-sing care.The EBP group was subjected to an evidence-based dietary education program:review indicators were grounded in current evidence, baseline assessments were conducted according to these indicators, facilitating factors and barriers were analyzed, and evidence-based nursing interventions were implemented.Results After the application of the evidence-based practice,the dietary knowledge scores of nurses increased from (75.24±9.25) to (92.64±4.41) with significant difference (P<0.05); the dietary management quality scores of nurses increased.The dietary knowledge scores of patient in the EBP group averaged (83.40±9.38),significantly higher than that in the baseline review group (66.15±8.75); and three out of eight dietary management behaviors were significantly higher than those in the baseline review group (all P<0.05).Conclusion Evidence-based nursing practice can improve nurses′ dietary knowledge and standardize their implementation of dietary education for patients with hematopoietic stem cell transplantation, which is beneficial for scientific dietary management for hematopoietic stem cell transplantation patients.

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方云,刘敏杰,谢辰,潘娟,杨海丽.造血干细胞移植患者膳食教育的循证护理实践[J].护理学杂志,2025,(17):115-119

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  • 收稿日期:2025-04-03
  • 最后修改日期:2025-06-05
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  • 在线发布日期: 2025-10-10