摘要
目的:构建血管导管相关感染(VCAI)预防方案并进行持续性效果评价。方法:以渥太华研究应用模式为指导,根据现场审查确定方案构建的促进和障碍因素,从基于证据的变革、潜在采纳者及实践环境3个方面构建循证实践方案,通过两轮循证实践,逐步建立并形成稳固的VCAI预防方案并进行持续性效果评价。结果:经过两轮临床证据转化实践,在系统方面,建立和完善了预防VCAI四级管理构架。在潜在采纳者方面,各操作者多项操作执行率有提升。在患者方面,VCAI发生率持续降低。结论:基于渥太华研究应用模式构建的VCAI预防方案有利于降低VCAI发生率,值得临床推广应用。
Objective:To construct a scheme for the prevention and sustainable effect evaluation of Vessel Catheter Associated Infection(VCAI).Methods:Using the Ottawa Model of Research Use as a guidance,the promotion and obstacle factors of scheme construction were determined based on the on-site review,and the evidence-based practice scheme was constructed from three aspects:evidence,potential adopters and practice environment.Upon two rounds of evidence-based practices,a stable scheme for the prevention and sustainable effect evaluation of VCAI was gradually established and formed.Results:After two rounds of knowledge transform practice,from the point of system,the four-level management framework of VCAI prevention has been constructed and improved.From the point of potential adopters,the implementation rate of various operations of operators has improved.From the point of patients,the incidence of VCAI continued to decrease.Conclusion:The scheme for the prevention and sustainable effect evaluation of VCAI based on the Ottawa Model of Research Use is conducive to reduce the incidence of VCAI,which is worthy of clinical application.
作者
丛悦
赵晓霜
李宏伟
孙佳男
殷欣
王鹏举
于姗姗
CONG Yue;ZHAO Xiaoshuang;LI Hongwei;SUN Jianan;YIN Xin;WANG Pengju;YU Shanshan(Nursing Department,The First Bethune Hospital of Jilin University,Changchun,130021,China)
出处
《中国护理管理》
CSCD
2022年第6期813-818,共6页
Chinese Nursing Management
关键词
血管导管相关感染
渥太华研究应用模式
循证护理
Vessel Catheter Associated Infection
Ottawa Model of Research Use
evidence-based nursing
