摘要
目的遴选并总结儿科外周动静脉穿刺疼痛管理相关的最佳循证证据,并将其应用于临床实践中,提高儿科护士在动静脉穿刺疼痛管理方面的能力,进一步提升儿科护理质量。方法按照“6S”原则检索外周动静脉穿刺疼痛管理相关领域的循证资源。通过对文献质量进行评价后,纳入的参考文献有1篇临床决策、4篇指南和1篇证据总结。总结参考文献中的最佳证据,并运用FAME原则对总结的证据进行评价,循证小组最终获取了6条最佳证据,结合实际情况转化成12条临床审查指标并严格按照JBI循证护理实践模型展开临床应用。采用便利抽样法选取2020年7月至11月在广州市某三级甲等医院急诊科就诊的3~18岁患儿110例进行研究,其中证据应用前50例,证据应用后60例。科室有40名护士亦被纳入研究。采用现场观察法、问卷调查法、查阅护理记录等方法收集数据。比较证据应用前后患儿外周动静脉穿刺疼痛评分、患儿依从性、护士每条审查指标执行率。结果应用最佳证据后,12条审查指标的执行率比应用前提高,患儿外周动静脉穿刺疼痛评分降低,依从性提高,差异均有统计学意义(P<0.05)。结论基于循证的儿科外周动静脉穿刺疼痛管理最佳证据的应用,可促进护士及家属对动静脉穿刺疼痛管理的重视,降低患儿疼痛感,增加依从性,改善护理服务质量。
Objective To select and summarize the best evidence-based evidence related to the management of pediatric peripheral arteriovenous puncture pain and apply the evidence to clinical nursing practice,so as to improve the pediatric nurses’arteriovenous puncture pain management ability and further improve the quality of pediatric nursing.Methods The evidence-based resources related to pediatric peripheral arteriovenous puncture pain were searched according to the“6S”principle.Through the literature quality evaluation,the included references included 1 clinical decision,4 guidelines and 1 evidence summary.Summarizing the evidence,evaluating the summarized evidence by the FAME principle,6 pieces of the best evidence were obtained finally,which were transformed into 12 clinical review indicators based on the actual situation,and strictly followed the JBI evidence-based nursing practice model to carry out clinical application.Convenience sampling method was used to select 110 children aged 3 to 18 who visited the emergency department of a tertiary first-class hospital in Guangzhou from July to November 2020 for research,of whom 50 cases were before the application of evidence and 60 cases were after the application of evidence.40 nurses in the department were also included in the study.Data were collected by on-site observation,questionnaire survey,and access to nursing records.The pain score of peripheral arteriovenous puncture,the compliance of children,and the implementation rate of each review index by nurses before and after the application of evidence were compared.Results After the application of the best evidence,the implementation rate of the 12 review indicators increased,the peripheral arteriovenous puncture pain score decreased,and the compliance was improved,the differences were statistically significant(P<0.05).Conclusion The application of the best evidence related to pediatric peripheral arteriovenous puncture pain management in clinical nursing can significantly promote the attention of nursing staf
作者
李小容
卢荔婕
吴金霞
龚云
吴结霞
邹金娜
LI Xiaorong;LU Lijie;WU Jinxia;GONG Yun;WU Jiexia;ZOU Jinna(Department of Emergency,Guangzhou Women and Children’s Medical Center,Guangdong Province,Guangzhou 510120,China)
出处
《妇儿健康导刊》
2022年第5期55-59,共5页
JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE
关键词
静脉穿刺
动脉穿刺
儿科
疼痛管理
循证实践
Venipuncture
Arterial puncture
Pediatrics
Pain management
Evidence-based practice
