Best practice implementation of bedtime and position after diagnostic adult lumbar puncture
10.3760/cma.j.issn.1672-7088.2020.04.005
- VernacularTitle: 成年人诊断性腰椎穿刺后卧床时间和体位的最佳证据应用
- Author:
Jinhua CHEN
1
;
Yaying MA
1
;
Yanmin SHAN
2
;
Lili ZHU
3
;
Xiaowei YU
1
;
Qiaomin TANG
1
;
Yingxiao BAO
1
;
Xue KONG
1
Author Information
1. Neurology Department of the Second Affiliated Hospital of Zhe jiang University School of Medicine, Hangzhou, 310009, China
2. Diabetes Department of the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, 310009, China
3. Operating theater of The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, 310009, China
- Publication Type:Clinical Trail
- Keywords:
Lumbar puncture;
Bedtime;
Position;
Best practice
- From:
Chinese Journal of Practical Nursing
2020;36(4):263-267
- CountryChina
- Language:Chinese
-
Abstract:
Objective:By implementing the best practice of bedtime and position after diagnostic adult lumbar puncture,we hope to establish a scientific and standardized nursing routine for lumbar puncture, shorten the bed-rest time after lumbar puncture, and improve the comfort of patients.
Methods:By reviewing literatures related to positions after adult lumbar puncture and post-dural puncture headache, six best practice were concluded. By combining the best evidence and the clinical circumstances, the evidenced-based criteria were established and then applied in the Neurology Department.
Results:After two rounds of reviews, the results showed that except the 93.3% compliance with the new evidence, all other four criteria had 100% complacence. Comparing before and after applying the evidence, there was no statistically significant difference for the occurrence of post-dural puncture headache or dizziness(P>0.05), there was a statistically significant reduction of back pain from 28.3%(30/106) to 15.1%(18/119)(χ2 value was 5.799, P<0.05) when the evidence was applied.
Conclusions:The best practice shows that patients needn′t lie on bed for 4 to 6 hours after lumbar puncture, the occurrence of back pain is lowered and the comfort level of the patient is improved in those who rest with pillow or activities.
