Analysis of review indicators and obstacle factors of nutritional management in perioperative patients in hepatobiliary surgery
10.3760/cma.j.cn211501-20220928-03021
- VernacularTitle:肝胆外科围手术期患者营养管理审查指标制订及障碍因素分析
- Author:
Qiao ZHANG
1
;
Changdan LIU
;
Xiaoxiao LU
;
Juan DING
Author Information
1. 荆州市中心医院肝胆外科，荆州 434000
- Keywords:
Nutritional support;
Evidence-based nursing;
Perioperative patients;
Hepatobiliary surgery;
Clinical audit;
Obstacle factors
- From:
Chinese Journal of Practical Nursing
2023;39(30):2359-2365
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To carry out evidence-based nursing practice of nutritional management of patients in the perioperative period of hepatobiliary surgery, formulate review indicators based on the best evidence, analyze obstacles, and provide reference for the application of evidence in clinical practice.Methods:According to the "6S" evidence model, the search was conducted on Cochrane Library, Joanna Briggs Institute evidence-based Health Care Center Database, National Guideline Clearinghouse, National Institute for Health and Clinical Excellence, the British Journal of Medicine, PubMed, SinoMed, CNKI and Wanfang Database from the date of database construction to September 30, 2021. Through systematic search, evaluation and summary of evidence, the evidence-based nursing review plan for perioperative patients in hepatobiliary surgery was determined and the status review was conducted. Influencing factors were analyzed, and action strategies were formulated.Results:A total of 14 pieces of best evidence were included in this study, and 16 review indicators were formulated, of which the implementation rate of one indicator was 85%, and the implementation rate of the other indicators was 0-55%. The main obstacles include the following: the lack of relevant knowledge at the medical and nursing level; the resistance of medical staff caused by the increasing clinical work, the lack of systems, procedures, quantitative tools, and instruments and equipment; insufficient leadership, etc.Conclusions:There is a big gap between evidence-based nursing evidence and clinical practice. It should be combined with the judgment of clinical professionals and the results of the baseline review to analyze the obstacles and formulate action strategies to promote the effective transformation of evidence.
