1. 北京中医药大学东直门医院加拿大安大略省注册护士协会最佳实践指南应用中心
2. 北京中医药大学护理学院加拿大安大略省注册护士协会最佳实践指南研究中心
3. 北京大学第一医院
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郑莉萍, 王芳, 马欣, 等. 基于KTA循证实践模型的脑卒中吞咽困难识别与管理[J]. 北京中医药, 2018,37(8):714-718.
ZHENG Li-ping, WANG Fang, MA Xin, et al. Toidentification and management of swallowing disorder in stroke based on the KTA evidence-based practice model[J]. Beijing Journal of Traditional Chinese Medicine, 2018,37(8):714-718.
郑莉萍, 王芳, 马欣, 等. 基于KTA循证实践模型的脑卒中吞咽困难识别与管理[J]. 北京中医药, 2018,37(8):714-718. DOI: 10.16025/j.1674-1307.2018.08.006.
ZHENG Li-ping, WANG Fang, MA Xin, et al. Toidentification and management of swallowing disorder in stroke based on the KTA evidence-based practice model[J]. Beijing Journal of Traditional Chinese Medicine, 2018,37(8):714-718. DOI: 10.16025/j.1674-1307.2018.08.006.
目的基于循证实践模式进行脑卒中吞咽困难的识别与管理,提高护理质量,保障患者安全。方法本研究以知识行为模型(KTA)的循证实践模型为指导,找到脑卒中吞咽困难识别与管理的问题,基于指南构建循证实践方案,结合临床实际情境,进行利益相关者分析,评估方案实施的促进和阻碍因素,拟订阻碍因素应对策略,指导临床实施,监测实施效果并进行结局评价,分析影响持续性应用的因素,优化方案,持续改进。结果通过将知识转化为实践的循证实践过程,患者、护士均受益,通过循证实践持续性应用,完成了循证实践行动闭环。结论可以将KTA循证护理实践模型应用于解决临床实际问题,提高护理质量,为临床制定和实施基于循证的护理方案提供参考。
Objective To identify and administrate swallowing disorder in stroke based on the evidence-based practice model,and to promote improvement on the quality of nursing and ensure the safety of patients. Methods This study was guided by KTA evidencebased practice model,to find the issues of recognition and management in swallowing disorder stroke,to build evidence-based practice based on the guide. Combined with the actual clinical situation,stakeholder analysis,and assessment scheme,it was schemed to promote and eliminate the hindering factors,guide clinical implementation,monitor effect and evaluate outcomes,and analyze the influence factor with continuous improvement. Results By transforming knowledge into evidence-based practice,Patients,nurses could be beneficial. Through the continuous application of evidence-based practice,the closed-loop of the evidence-based practice operation could be accomplished. Conclusion The practice model of KTA evidence-based nursing could be applied to solve practical clinical problems,improve the quality of nursing,and provide references for the formulation and implementation of evidence-based nursing schemes.
脑卒中吞咽困难循证实践
strokeswallowing disorderKTA
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