国际麻醉学与复苏杂志   2022, Issue (5): 7-7
    
动脉导管置管患者行血气分析的临床操作规范循证实践
张偌翠, 张转运, 吕晓凡, 安晓燕, 李雪云, 华薇1()
1.南京大学医学院附属鼓楼医院
Evidence‑based practice of blood gas analysis in patients with arterial catheter
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摘要:

目的 将动脉导管置管行血气分析临床操作规范的相关证据应用于临床实践。 方法 依据证据的持续质量改进模式图,将获得的证据应用于临床。比较证据应用前、证据应用后护士实践依从性、知识掌握情况、标本采集正确情况、血气分析仪进样通道被血块堵塞的发生情况。 结果 与证据应用前比较,证据应用后护士对审查指标2、3、7、9、10、11、12、14、15、17的执行率提升(P<0.05)、知识掌握程度提升(P<0.05)、第1次标本采集正确率提高(P<0.05)、血气分析仪进样通道血块未堵塞发生率升高(P<0.05)。 结论 经动脉导管置管行血气分析临床操作规范最佳证据的应用提高了护士对动脉血气分析操作最佳证据的知晓率,规范了护士操作行为,提高了血标本合格率,减少了资源浪费。

关键词: 动脉导管; 动脉血气分析; 循证实践
Abstract:

Objective To apply the relevant evidence of arterial catheterization for blood gas analysis in clinical practice Methods We followed the framework of evidence‑based continuous quality improvement, and the obtained evidence was applied in clinical setting. Nurse practice compliance, nurse knowledge, correct specimen collection, and the rate of blocking the injection channel of blood gas analyzer by blood clots were compared before and after evidence application. Results Compared with those before evidence application, after the application of evidence, the implementation rate of nurses to review indicators 2, 3, 7, 9, 10, 11, 12, 14, 15 and 17 increased (P<0.05), the knowledge of nurses increased (P<0.05), the first specimen collection rate increased (P<0.05), and the rate of blocking the injection channel of blood gas analyzer by blood clots increased (P<0.05). Conclusions The application of the optimal evidence of arterial catheterization for arterial blood gas analysis improves nurses' awareness of the optimal evidence, standardizes nurse procedures, improves the qualified rate of blood samples, and reduces the waste of resources.

Key words: Arterial catheter; Arterial blood gas analysis; Evidence‑based practice