Best evidence application review and obstacle analysis of thoracic drainage tube management after pneumonectomy
10.3760/cma.j.cn115682-20200916-05397
- VernacularTitle:肺切除术后胸腔引流管管理的最佳证据应用审查及障碍分析
- Author:
Jingjing YIN
1
;
Fangfang LYU
;
Feng ZHANG
;
Xia LI
;
Lijie ZHANG
;
Lijuan YANG
Author Information
1. 山东第一医科大学附属省立医院胸外科，济南 250021
- Keywords:
Pneumonectomy;
Postoperative period;
Thoracic drainage tube;
Evidence review;
Obstacle factor;
Evidence-based nursing
- From:
Chinese Journal of Modern Nursing
2021;27(16):2180-2185
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the current clinical practice of the best evidence for thoracic drainage tube management after pneumonectomy, discuss the possible obstacles to the application of the best evidence and propose corresponding solutions.Methods:Using the convenient sampling method, a total of 15 clinical nurses and 91 patients in the thoracic surgery ward of Shandong Provincial Hospital Affiliated to Shandong First Medical University were selected as the research objects from May 1 to May 31, 2019. A total of 30 pieces of best evidence were included in thoracic drainage tube management, 38 pieces of review indexes were formulated and the clinical status of evidence application was reviewed. According to the results of the review, obstacles to the application of evidence and the corresponding countermeasures were discussed.Results:The clinical compliance rate of 38 reviewed indexes ranged from 0 to 100%, and 18 indexes with a clinical compliance rate less than 50%. The obstacle factors mainly include the lack of evidence-based knowledge training for the management of thoracic drainage tube by nursing staff, the incomplete management of thoracic drainage tube, the increase of clinical workload caused by the application of evidence, and the incomplete health promotion and education content.Conclusions:There is still a big gap between the current clinical status of thoracic drainage tube management and best practice after pneumonectomy. Corresponding countermeasures should be formulated and implemented to promote the effective transformation of best evidence into clinical practice.
