器官移植病房肾移植受者的康复训练:最佳实践实施项目。

IF 2.7 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Jbi Evidence Implementation Pub Date : 2024-08-01 DOI:10.1097/XEB.0000000000000417
Huan Liu, Jia Liu, Qirong Chen, Le Zeng, Jia Guo, Xiao Zhu, Pengpeng Zhang, Jiarui Chen, Mei Sun, Xiaoting Huang, Jinfeng Ding, Lifang Liu
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引用次数: 0

摘要

导言和目标:肾移植是治疗终末期肾病的有效方法。肾移植受者(KTRs)由于手术前久坐不动的生活方式,很容易出现身体功能下降、抑郁、疲劳和缺乏运动动力等问题。运动是针对肾移植受者的有效干预措施,但在许多实践环境中并未得到正确实施。本项目旨在推广循证运动,将其作为 KTR 康复的一部分,以改善他们的健康状况:该项目参考了 JBI 证据实施框架。该项目在中国长沙一家三级综合医院的器官移植病房开展。在总结最佳证据的基础上,为基线审核和后续审核制定了12项审核标准,涉及30名患者和20名护理人员。采用JBI临床证据实际应用系统(PACES)和将研究融入实践(GRiP)工具来识别障碍和促进因素,并制定有针对性的策略来改善问题:与基线审核相比,后续审核中的大部分标准都有了明显改善,12 项标准中有 9 项达到了 100%。值得注意的是,6 分钟步行距离测试结果明显提高,而抑郁自评量表和焦虑自评量表得分明显降低(P < 0.05):本项目表明,循证实践可以改善 KTR 康复锻炼的临床实践。事实证明,GRiP 策略非常有用,尤其是制定标准化康复锻炼方案、培训和改善锻炼环境。护士长的领导力和决策力也为该项目的成功发挥了重要作用。西班牙文摘要:http://links.lww.com/IJEBH/A180。
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Rehabilitation exercises for kidney transplant recipients in an organ transplant ward: a best practice implementation project.

Introduction and objectives: Kidney transplantation is an effective treatment for end-stage kidney disease. Kidney transplant recipients (KTRs) are prone to experiencing reduced physical function, depression, fatigue, and lack of exercise motivation due to their sedentary lifestyle before surgery. Exercise is an effective intervention for KTRs, but it has not been properly implemented in many practice settings. This project aimed to promote evidence-based exercises as part of KTRs' rehabilitation to improve their health outcomes.

Methods: This project was informed by the JBI Evidence Implementation Framework. The project was conducted in the organ transplant ward of a tertiary comprehensive hospital in Changsha, China. Based on a summary of best evidence, 12 audit criteria were developed for the baseline and follow-up audits involving 30 patients and 20 nursing staff. The JBI Practical Application of Clinical Evidence System (PACES) and Getting Research into Practice (GRiP) tool were used to identify barriers and facilitators and develop targeted strategies to improve issues.

Results: Compared with the baseline audit, significant improvements were achieved in most of the criteria in the follow-up audit, with 9 of the 12 criteria reaching 100% compliance. Notably, the 6-minute walk distance test results were significantly higher, while the Self-Rating Depression Scale and Self-Rating Anxiety Scale scores were significantly lower ( p < 0.05).

Conclusions: This project demonstrates that evidence-based practice can improve the clinical practice of rehabilitation exercises for KTRs. The GRiP strategies proved to be extremely useful, notably, the formulation of a standardized rehabilitation exercise protocol, training, and enhancement of the exercising environment. Head nurses' leadership and decision-making also played an important role in the success of this project.

Spanish abstract: http://links.lww.com/IJEBH/A180.

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来源期刊
CiteScore
3.20
自引率
13.00%
发文量
23
期刊最新文献
Comparison of two audit and feedback approaches: descriptive analysis of personal and contextual dynamics. Collaborative implementation science: a Can-SOLVE CKD case example. Improving communication among nursing staff at a children's hospital in the southern United States: a best practice implementation project. Improving the quality of medication administration practices in a tertiary Australian hospital: a best practice implementation project. Cross-disciplinary advance care planning in oncology and palliative care amidst a pandemic: a best practice implementation project.
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