Evidence based practice of catheter removal in patients with short-term indwelling catheter after partial nephrectomy
10.3760/cma.j.issn.1672-7088.2017.16.009
- VernacularTitle:肾脏部分切除术后短期留置导尿管患者导尿管拔除策略的循证实践
- Author:
Xianli MENG
;
Xiaoying LU
;
Jie CAO
- Keywords:
Catheter removal strategy;
Evidence-based medicine
- From:
Chinese Journal of Practical Nursing
2017;33(16):1235-1238
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate evidence-based practice of catheter removal strategy in patients with short-term indwelling catheter after partial nephrectomy. Try to apply the best evidence into practice, and further to improvethe quality of clinical nursing through quality review. Methods Two rounds of quality review were carried out in the 2 wards from July to December in 2016. Using the 5 review criteria of best evidence, we reviewed baseline of catheter removal strategies for patients with short-term indwelling catheter after partial nephrectomy and developed appropriate evidence-based practice. Further, the best evidence was integrated into clinical nursing practice, and the prognosis was reviewed after then. Results In the baseline review, the compliance of the 5 review criteria was 0. However, after introducing the best evidence into nursing practice,the compliance was up to 100%. The mastering of evaluation knowledge of catheter removal of nurses increased from 73.00 ± 9.35 to 94.81 ± 3.38 with significant difference (t=12.72, P<0.01). The indwelling time of catheter shorted from (5.69±0.79) d to(4.24±0.82) d. The difference was significant (t=5.47, P<0.01). Conclusions Evidence-based nursing practice improvesthe strategies of short-term catheter removal after partialnephrectomy, while closer cooperation between nurses and doctors are still needed to promote the continuous improvement of nursing quality.
