摘要
目的 根据宫颈癌根治术后下肢淋巴水肿自我护理的最佳证据,制定审查指标,并分析障碍因素和促进因素,为促进证据的临床转化提供参考。方法 总结宫颈癌根治术后下肢淋巴水肿自我护理的21条最佳证据,在此基础上确定审查指标、审查方法,并进行障碍和促进因素分析。结果 共制定15条质量审查指标,其中6条审查指标执行率低于60%,障碍因素主要为缺乏规范化管理流程、证据应用配合度不高、健康教育落实不到位、延续护理服务有待提升、自我护理重要性认知不足等。结论 临床科室应用证据时,需要结合促进因素及障碍因素、患者意愿及偏好等有针对性地采取措施,利于最佳证据的临床实践。
Objective To develop review indicators based on the best evidence of self-care for lower extremity lymphedema after radical cervical cancer surgery,and to analyze the barriers and facilitators,in order to provide a reference for improving evidence clinical translation.Methods A total of 21 pieces of best evidence on self-care for lower extremity lymphedema after radical cervical cancer surgery were summarized,based on which to develop the review indicators and review methods,and analyzed the barriers and facilitators.Results A total of 15 quality review indicators were developed,and the implementation rate of 6 of them was less than 60%.The barriers were mainly the lack of standardized management process,the low cooperation degree of evidence application,the inadequate implementation of health education,the need to improve extended care services,and the lack of awareness of the importance of self-care.Conclusion In the application of evidence,clinical departments should take targeted measures in combination with barriers and facilitators,patients′ wishes and preferences,so as to facilitate the clinical practice of the best evidence.
作者
吕永利
耿力
王焕焕
张可可
Lü Yongli;Geng Li;Wang Huanhuan;Zhang Keke(Department of Nursing,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)
出处
《护理学杂志》
CSCD
北大核心
2023年第24期44-47,共4页
Journal of Nursing Science
基金
湖北省自然科学基金资助项目(2021CFB589)。
关键词
宫颈癌
下肢淋巴水肿
自我护理
循证护理实践
障碍因素
护理质量
审查指标
cervical cancer
lower extremity lymphedema
self-care
evidence-based nursing practice
barriers
nursing quality
review indicators
