使用 i-PARIHS 框架在 ICU 患者中预防医疗器械相关压力损伤的证据实施
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Abstract
Aim
To examine the effectiveness of implementing the evidence in preventing medical device-related pressure injury (MDRPI) in intensive care patients.
Background
MDRPI is a common problem that significantly complicates patients' medical condition. However, evidence in preventing MDRPI is not properly implemented in clinical practice.
Methods
A pre- and post-implementation study was conducted using the Integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) framework. A baseline survey was implemented; barriers and enablers of evidence implementation were analysed to inform facilitation support strategies, such as training nursing staff and developing resources and tools. Changes in nurses, patients and the system were assessed after evidence implementation.
Results
Nurses' knowledge scores and evidence compliance significantly improved. The incidence of MDRPI in patients decreased from 24.39% to 4.26%. Standardized care and workflows to prevent MDRPI were established.
Conclusion
The i-PARIHS framework supported effective implementation of the evidence in preventing MDRPI, narrowing the gap between evidence and clinical practice.
Implications for Nursing Management
We provide an effective case of transforming evidence into practice based on the i-PARIHS framework. It can be used as a reference for colleagues in intensive care unit (ICU) or other settings to implement MDRPI prevention.
摘要翻译（仅供参考）
目的
检查实施证据在预防重症监护患者中医疗器械相关压力损伤 (MDRPI) 方面的有效性。
背景
MDRPI 是一个常见问题，使患者的医疗状况显着复杂化。然而，预防 MDRPI 的证据并未在临床实践中正确实施。
方法
使用卫生服务研究实施综合促进行动 (i-PARIHS) 框架进行了实施前和实施后研究。实施了基线调查；对证据实施的障碍和促成因素进行了分析，以告知便利化支持策略，例如培训护理人员和开发资源和工具。在证据实施后评估护士、患者和系统的变化。
结果
护士的知识分数和证据依从性显着提高。患者 MDRPI 的发生率从 24.39% 下降到 4.26%。建立了预防 MDRPI 的标准化护理和工作流程。
结论
i-PARIHS 框架支持有效实施证据以预防 MDRPI，缩小证据与临床实践之间的差距。
对护理管理的影响
我们提供了一个基于 i-PARIHS 框架将证据转化为实践的有效案例。可为重症监护室（ICU）或其他环境中的同事实施 MDRPI 预防提供参考。
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