摘要
目的为将循证理念引入临床护理工作,对原发性肝癌射波刀治疗患者进行围手术期营养风险筛查,以增强护理人员的全面营养管理意识和营养护理干预水平,同时为将护理人员推向多学科合作、开阔专业视野提供依据和支持。方法2019年8月—2020年7月按照澳大利亚JBI循证卫生保健中心实践模式,检索欧洲肠外肠内营养协会网站以及中国肠外肠内营养协会网站,并检索PubMed、CNKI和万方数据库中所有关于原发性肝癌射波刀治疗患者营养风险筛查的相关证据,进行小组评价后应用于解放军总医院第五医学中心肝脏肿瘤科病房的护士和患者。选择21名护士在证据应用前、后通过研究小组自行设计的原发性肝癌行射波刀治疗患者营养相关知识问卷进行调查。将2019年8—12月收治的41例原发性肝癌射波刀治疗患者(未应用本证据)作为对照组,将2020年1—4月收治的39例原发性肝癌射波刀治疗患者(证据应用后)作为观察组,在患者入院时和射波刀治疗完成后出院时采集并比较两组患者与营养相关的指标。结果证据应用后,21名护士对于原发性肝癌射波刀治疗患者围手术期营养风险相关知识知晓率、营养风险筛查的执行率以及患者营养筛查的相关知识知晓率、营养筛查执行率均高于证据应用前,差异均有统计学意义(P<0.05)。结论应用澳大利亚JBI循证卫生保健中心实践模式为框架的循证护理实践方法,丰富了护士营养风险筛查相关知识,提升了护士临床工作的主动性,也有利于加强多学科间的合作,提高原发性肝癌射波刀治疗患者围手术期的营养护理管理质量。
Objective To introduce evidence-based concepts into clinical nursing,and carry out perioperative nutritional risk screening for patients with primary liver cancer treated with Cyberknife,so as to enhance the overall nutritional management awareness and the level of nutritional nursing intervention of the nursing staff,and at the same time provide a basis and support for pushing nursing staff to multidisciplinary cooperation and broadening their professional horizons.Methods From August 2019 to July 2020,in accordance with the practice model of the Australian Joanna Briggs Institute Evidence-based Health Care Center,we searched the evidence on nutritional risk screening of patients with primary liver cancer treated with Cyberknife in the European Society for Parenteral and Enteral Nutrition website and the Chinese Parenteral and Enteral Nutrition Society website,PubMed,China National Knowledge Infrastructure(CNKI)and Wanfang Data.The evidence was evaluated by the team and applied to nurses and patients in the Liver Oncology Department of the Fifth Medical Center of the People's Liberation Army General Hospital.A total of 21 nurses were selected to conduct a survey with the Nutrition Knowledge Questionnaire of Primary Liver Cancer Patients undergoing Cyberknife Treatment designed by the research team before and after the application of evidence.A total of 41 patients treated with Cyberknife for primary liver cancer admitted from August to December 2019(without the use of this evidence)were selected as the control group,and 39 patients treated with Cyberknife for primary liver cancer admitted from January to April 2020(after the application of the evidence)were selected as the observation group.The nutrition-related indicators of the two groups of patients were collected and compared when the patients were admitted to the hospital and when they were discharged after the Cyberknife treatment was completed.Results After the application of the evidence,21 nurses'awareness rates of perioperative nutritional risk-related
作者
刘丽英
辛禄雨
王少美
马晶晶
乔宝莹
姚千慧
皮红英
Liu Liying;Xin Luyu;Wang Shaomei;Ma Jingjing;Qiao Baoying;Yao Qianhui;Pi Hongying(Oncology Radiotherapy Center,the Fifth Medical Center of People's Liberation Army General Hospital,Beijing 100039,China;Cadet Company,Medical School of Chinese People's Liberation Army,Beijing 100853,China)
出处
《中华现代护理杂志》
2021年第15期2061-2065,共5页
Chinese Journal of Modern Nursing
关键词
肝脏肿瘤
放射治疗
射波刀
营养
循证护理
Liver neoplasms
Radiotherapy
Cyberknife
Nutrition
Evidence-based nursing
