Evidence-based airway clearance for ICU patients
10.3969/j.issn.1671-8283.2023.12.001
- VernacularTitle:重症监护病房患者气道廓清治疗的循证护理实践
- Author:
Mengyang HU
1
;
Haiyan HUANG
;
Xiaojie WU
;
Ting YOU
;
Wei WU
;
Bo LI
;
Bing HAO
;
Yuanyuan MI
Author Information
1. 华中科技大学同济医学院附属协和医院,湖北武汉,430022
- Keywords:
intensive care unit;
airway clearance techniques;
best evidence;
evidence-based practice
- From:
Modern Clinical Nursing
2023;22(12):1-8
- CountryChina
- Language:Chinese
-
Abstract:
Objective To apply the best evidence of airway clearance for ICU patients and promote an application of the best evidence in clinical practice to promte nuring quality.Methods The best evidence of airway clearance for ICU patients was summarised.Based on the best evidence,a system of 11 review indicators was established for clinical baseline review in combination with clinical scenario analysis and professional judgment according to the principle of operability,measurability,and understandability.On the basis of the results of review and the analysis of obstacle factors,strategies of airway clearance for ICU patients were proposed and implemented in clinical practice.Between September and December 2022,72 hospitalised patients and 30 nursing staff in the ICU of a general hospital in Wuhan were recruited in the study.Between September and October 2022,routine nursing care for airway clearances was given to the patients,and evidence-based nursing care for airway clearance was offered to the ICU patients between November and December 2022.Clinical pulmonary infection score,nursing staff's knowledge of airway clearance and implementation rate of review indicators were compared before and after the application of evidence-based nursing.Results All of the patients went through the study.After the application of evidence-based nursing practice,the clinical pulmonary infection score was decreased from(4.94±1.66)to(4.14±1.68).The score of airway clearance knowledge was increased from(49.17±9.38)points to(82.17±10.56)points.The implementation rate of the 11 indicators of evidence-based practice before the evidence-based practice was 0～80.00%,and it was significantly improved up to 96.67%～100.00%after the evidence-based practice(all P<0.05).Conclusion Implementation of evidence-based nursing practice in the airway clearance for ICU patients can reduce clinical pulmonary infections in ICU patients,improve the knowledge of nurses in cognition of airway clearance hence to improve the quality of nursing and promote the recovery of patients.
