摘要
目的实施产妇出院准备服务管理并探讨其临床应用效果。方法本研究遵循证据的持续质量改进模式,通过证据获取、现状审查、证据引入和效果评价4个阶段将证据应用于临床,选取2021年1—3月在承德医学院附属医院产科住院的60例产妇作为基线组,2021年4—7月在该医院产科住院的60例产妇作为证据应用组。评价比较证据应用前后产妇出院指导质量、产妇出院准备度水平、产妇产后母婴管理的知识水平、产后母婴不良情况发生率以及实践人员对证据的依从性。结果最终纳入应用于临床的证据10条,转化为15条审查指标,证据应用后,产妇的出院指导质量由(141.83±24.66)分提高到(166.13±10.30)分、产妇出院准备度由(127.12±26.29)分提高到(137.63±22.59)分,产妇知识水平由(164.58±20.10)分提高到(176.08±24.25)分,差异均有统计学意义(t=-7.04、-2.39、-2.83,均P<0.05)。产后产妇乳腺疾病、产后便秘以及新生儿湿疹、新生儿红臀、新生儿腹泻、新生儿黄疸的发生率明显下降,差异均有统计学意义(χ^(2)值为5.21~7.50,均P<0.05)。证据应用后,审查指标的执行率由≤31.67%提高到86.66%及以上。结论产妇出院准备服务的循证实践提高了实践人员的出院指导质量以及对证据的依从性,促进了临床质量改进,可为临床借鉴和参考。
Objective To implement evidence-based practice of discharge preparation service in maternal and to explore the clinical effect.Methods Based on the evidence-based continuous quality improvement framework,apply the evidence on the clinical through evidence acquisition,baseline evaluation,evidence introduction,and after-effect evaluation.Sixty women hospitalized in the obstetrics department of the Affiliated Hospital of Chengde Medical College from January to March 2021 were selected as the baseline group,and 60 women hospitalized in the obstetrics department of the hospital from April to July 2021 were selected as the evidence application group,to evaluate and compare the quality of discharge guidance for practitioners,discharge readiness level,maternal and newborn management knowledge level,incidence of maternal and newborn complications and the compliance of practitioners to evidence.Results Finally,10 pieces of evidence applied to clinical practice were included and 15 review indicators were translated.After the application of evidence,the quality of discharge guidance of practitioners increases from(141.83±24.66)to(166.13±10.30),the maternal discharge readiness increased from(127.12±26.29)to(137.63±22.59),the score of maternal knowledge level increased from(164.58±20.10)to(176.08±24.25),t values were-7.04,-2.39 and-2.83,all P<0.05.The incidence of postpartum women breast disease,postnatal constipation and newborn eczema,newborn red buttocks,newborn diarrhea,newborn jaundice decreased significantly,the difference were statistically significant,χ^(2)values were 5.21-7.50,all P<0.05.After the application of evidence,the implementation rate of the review indicators increased from≤31.67%to≥86.66%.Conclusions The evidence-based practice of discharge preparation service in postpartum women improve the quality of discharge guidance for practitioners and compliance with evidence,promote clinical quality improvement,can be used for clinical reference.
作者
耿小婷
李淑英
袁晓明
刘智超
Geng Xiaoting;Li Shuying;Yuan Xiaoming;Liu Zhichao(Department of Nursing,Affiliated Hospital of Chengde Medical University,Chengde 067000,China;Department of Obstetrics,Affiliated Hospital of Chengde Medical University,Chengde 067000,China;Department of Recovery Room for Anesthesia,Affiliated Hospital of Chengde Medical University,Chengde 067000,China)
出处
《中国实用护理杂志》
2022年第35期2721-2728,共8页
Chinese Journal of Practical Nursing
基金
河北省医学科学研究课题(20210245)。
关键词
循证实践
产妇
出院准备服务
出院指导质量
出院准备度
Evidence-based practice
Puerpera
Discharge preparation services
Quality of discharge guidance
Discharge readiness
