Evidence-based practice of perioperative enhanced recovery nursing for lung cancer patients based on the Stetler model of research utilization
10.3760/cma.j.cn115682-20211107-05005
- VernacularTitle:基于Stetler研究应用模式的肺癌患者围手术期加速康复护理循证实践
- Author:
Tingting LIU
1
;
Jing FENG
;
Shiying ZENG
;
Ling GE
;
Fengxia JIN
;
Xiaoxin LIU
Author Information
1. 上海市胸科医院，上海交通大学医学院附属胸科医院护理部，上海 200030
- Keywords:
Lung neoplasms;
Enhanced recovery after surgery;
Evidence-based practice;
Stetler model of research utilization
- From:
Chinese Journal of Modern Nursing
2022;28(14):1908-1913
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To apply the best evidence of perioperative enhanced recovery nursing for lung cancer patients to clinical practice, and to evaluate the effect of practice.Methods:Following the 5 steps of the Stetler model of research utilization, an evidence-based protocol was formed through literature search, quality assessment, evidence synthesis and revision by expert group meetings. From January to July 2021, convenience sampling was used to select 160 lung cancer patients admitted to the Thoracic Surgery of Shanghai Chest Hospital as the research object. Patients admitted from January to April 2021 were set as the control group ( n=80) for baseline review. Patients admitted from May to July 2021 were set as the intervention group ( n=80) , and an evidence-based protocol was applied. Results:Finally, one guideline and 7 consensus articles were included. The evidence-based protocol covered 10 modules of preoperative nursing assessment, nutritional management, dietary preparation, health education, postoperative dietary management, functional exercise, pipeline management, pain management, venous thrombosis management and symptom management, with a total of 22 recommendations. There were significant differences in the time of first ambulation, the completion of ambulation on the day of operation, the pain score of first ambulation, the time for the first eating, and the time for the first exhausting between the two groups ( P<0.05) . There were no complications and venous thrombosis in the two groups during hospitalization. Conclusions:The development of the evidence-based practice project is beneficial to accelerate the postoperative recovery of lung cancer patients, and is conducive to standardizing the nursing path, thereby promoting the improvement of nursing quality.
