Obstacle analysis of evidence-based nursing application of standardized management of stress hyperglycemia during perioperative period in gastrointestinal tumor patients
10.3760/cma.j.cn211501-20230804-00186
- VernacularTitle:胃肠肿瘤患者围手术期应激性高血糖规范化管理证据应用的障碍因素分析
- Author:
Min FU
1
;
Ting WANG
;
Shaohua HU
;
Lihua ZHOU
;
Yinguang FAN
;
Yingxiang LI
;
Zhouyi SU
Author Information
1. 安徽医科大学第一附属医院胃肠腔镜外科，合肥 230022
- Keywords:
Hyperglycemia;
Stress;
Gastrointestinal tumor;
Obstacles factor;
Evidence transformation;
Evidence-based nursing
- From:
Chinese Journal of Practical Nursing
2024;40(3):222-228
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To carry out evidence-based nursing for standardized management of stress hyperglycemia in perioperative period of gastrointestinal tumor patients, and to formulate indicators, analyze obstacles and promoting factors, formulate action strategies.Methods:Guided by the Johns Hopkins evidence-based nursing model, evidence were searched, evaluated and summarized. Clinical indicators and review methods were formulated to carry out quality review. From November 2021 to April 2022, the medical staff and patients in the gastrointestinal surgery department of the First Affiliated Hospital of Anhui Medical University who met the inclusion criteria were conducted, and the incidence of compliance rate was calculated. Based on the results of the baseline review, the obstacles and contributing factors were analyzed.Results:A total of 26 pieces of best evidence were included and 14 indicators were formulated for 48 medical staff and 45 patients to clinical review, among which the compliance rate of 7 indicators was less than 60%. The main obstacle factors were lack of procedures and instruments for management of perioperative stress hyperglycemia in gastrointestinal tumor patients, lack of knowledge of medical staff, etc. The main promoting factors were organizational support, good atmosphere of medical team cooperation, strong willingness to change, etc.Conclusions:There is a big gap between the clinical practice and the best evidence of perioperative stress hyperglycemia management in patients with gastrointestinal tumor. Action strategies should be put forward for obstacles and promoting factors to promote evidence transformation.
