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中国初级卫生保健:2021,35(8):22-26
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社区压力性损伤营养支持循证实践方案的构建和应用研究
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中文摘要: 目的:构建社区压力性损伤患者营养支持循证实践方案并评价其应用效果。方法:基于循证护理路径汇总最佳 证据,将证据、专家意见、临床情境等相结合,制定社区压力性损伤患者营养支持实践方案并应用于临床,评估方案临床应 用效果。结果:方案应用后,接受营养支持的实验组患者与接受常规治疗的对照组患者比较,伤口愈合时间缩短,新伤口发 生率由15.38%降低到6.38%,治疗费用有所下降,患者满意度大幅提高;方案应用后,护士对压力性损伤营养支持相关知识 的知晓度大大提高,医护人员对方案及流程的执行率超过85%。结论:应用循证路径构建社区压力性损伤患者营养支持实践 方案,确保了方案的科学性、实用性及护患双方满意度,同时可以促进有营养不良风险的社区压力性损伤患者伤口的愈合, 控制其新伤口再发生,提升患者生活质量,提升社区卫生服务中心伤口护理品质,促进医改分级诊疗制度进一步落地实施。
Abstract:OBJECTIVE To construct an evidence-based nutritional support scheme for patients with stress injury in the commu⁃ nity and evaluate application effect. METHODS The best evidence was collected based on the evidence-based nursing path, and the evidence, expert opinion and clinical situation were combined to develop a nutritional support plan for patients with stress injury in the community and apply to the clinic to evaluate the clinical application effect of the plan. RESULTS After protocol application, compared with patients by conventional treatment methods, the wound healing time decreased from 15.38% to 6.38%. The treatment cost decreased and patient satisfaction was greatly improved. After the application, nurses’knowledge of stress injury was greatly in⁃ creased, and the implementation rate of the plan and process was greater than 85%. CONCLUSION Application of evidence-based path to build community stress injury patients nutrition support practice scheme was to ensure the scientific, practical and satisfac⁃ tion of both sides, and could more effectively promote malnutrition risk of malnutrition stress injury patients wound healing, effective control, new wound recurrence, improve the quality of life, improve the quality of community hospital wound care, promote the fur⁃ ther implementation of hierarchical diagnosis and treatment.
文章编号:3202108006     中图分类号:R473.2    文献标志码:
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