中华护理杂志 ›› 2022, Vol. 57 ›› Issue (20): 2459-2466.DOI: 10.3761/j.issn.0254-1769.2022.20.004
樊雪梅(), 朱珠, 单春剑, 张爱霞, 刘婧岩, 范裕如, 冯善武, 戴永梅, 周春秀()
收稿日期:
2021-10-30
出版日期:
2022-10-20
发布日期:
2022-10-24
通讯作者:
周春秀,E-mail: zhouchunxiu_njfy@sina.com作者简介:
樊雪梅:女,硕士,副主任护师,E-mail: fanxuemei_njfy@sina.com
基金资助:
FAN Xuemei(), ZHU Zhu, SHAN Chunjian, ZHANG Aixia, LIU Jingyan, FAN Yuru, FENG Shanwu, DAI Yongmei, ZHOU Chunxiu()
Received:
2021-10-30
Online:
2022-10-20
Published:
2022-10-24
摘要:
目的 开展产程中经口摄入能量管理的循证实践,构建审查指标,分析循证实践过程中的障碍因素及促进因素,制订变革策略。 方法 以乔安娜布里格斯研究所循证卫生保健模式为理论框架,确定临床护理问题,组建循证实践小组,系统检索、评价和汇总证据,制订审查指标并明确审查方法,2021年7月1日—8月20日进行基线审查,根据基线审查结果分析循证实践过程中存在的障碍、促进因素,并制订相应的策略。 结果 该研究共纳入18条最佳证据,制订13条审查指标,共9条指标准确执行率<60%,且其中5条准确执行率为0。助产士重视程度不够且相关知识了解不足,科室缺乏产程中限制经口摄入能量危险因素的评估工具、缺乏具体的饮食推荐方案及管理流程与宣教材料等是主要障碍因素,组织领导力强、有多学科团队支持、产妇及其家属参与积极性高等是主要促进因素,依此制订了相应的变革策略。 结论 该研究基于最佳证据和专业判断构建的审查指标科学、有效,具有适宜性和可行性,障碍因素及促进因素分析与变革策略的制订可为推进产程中经口摄入能量管理临床实践提供保障。
樊雪梅, 朱珠, 单春剑, 张爱霞, 刘婧岩, 范裕如, 冯善武, 戴永梅, 周春秀. 产程中经口摄入能量管理审查指标的制订及障碍因素分析[J]. 中华护理杂志, 2022, 57(20): 2459-2466.
FAN Xuemei, ZHU Zhu, SHAN Chunjian, ZHANG Aixia, LIU Jingyan, FAN Yuru, FENG Shanwu, DAI Yongmei, ZHOU Chunxiu. Development of review indicators and analysis of obstacles for oral intake management during labor[J]. Chinese Journal of Nursing, 2022, 57(20): 2459-2466.
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