【摘要】 目的 将经股动脉介入术患者术后体位及卧床时间的最佳证据应用于临床护理实践，以减轻患者术后因长时间卧床所带来的并发症，提高患者术后舒适度及护理质量。方法 以JBI证据应用模式进行经股动脉术后体位及卧床时间的相关证据检索，并运用卫生保健中心证据分级（2014版）作为评估检索文献质量的标准，结合GRADE系统证据降级或升级因素确定证据等级，按照JBI FAME方法判断证据实施的可行性、适宜性、临床意义、有效性4个方面，并结合证据的JBI推荐强度确定推荐级别。将采纳的证据转化为临床审查指标，通过查看护理记录单、手术记录单、现场查看、问卷调查的方式收集资料，比较证据应用前（2020年7月—2021年1月，n=42）和应用后（2021年2—9月，n=40）经股动脉介入术后患者的舒适度、腰背部疼痛率及患者术后并发症情况。结果 证据应用后，经股动脉介入术后患者舒适度评分高于证据应用前；术后患者腰背部疼痛评分低于证据应用前，组间比较差异具有统计学意义（P<0.05）；证据应用前和证据应用后的术后并发症发生率比较，差异无统计学意义（P>0.05）。结论基于最佳证据将经股动脉介入术患者术后体位和卧床时间应用于临床护理实践，缩短了经股动脉介入术后的卧床时间，未增加并发症的发生率，减轻了术后腰背部疼痛的发生率，对患者的护理质量和舒适度均有明显提高。更多还原

【Abstract】 Objective To reduce the postoperative complications caused by prolonged bed rest and improve the postoperative comfort and nursing quality of patients, we applyed the best evidence of postoperative posture and bed rest time of patients undergoing transfemoral artery intervention to clinical nursing practice. Methods The JBI evidence application mode was used to retrieve the relevant evidence of body position and bed rest time after transfemoral artery surgery, and the Health Care Center Evidence Grading(2014 version) was used as the standard to evaluate the quality of the retrieved literature, and the evidence was determined in combination with the downgrading or upgrading factors of the GRADE system. According to the JBI FAME method, the feasibility,suitability, clinical significance, and effectiveness of the evidence implementation are judged in four aspects,and the recommendation level was determined based on the JBI recommendation strength of the evidence. We converted the adopted evidence into clinical review indicators, and collect data by viewing nursing records,surgical records, on-site inspections, and questionnaires to compare the comfort level, low back pain rate and postoperative complications of patients after evidence transfemoral artery intervention between before application(from July 2020 to January 2021, n=42) and after application(from February to September 2021, n=40). Results After the application of the evidence, the patients’ comfort score after transfemoral artery intervention was higher than that before the application of the evidence, the postoperative low back pain score of the patients was lower than that before the application of the evidence, and the dif ferences between the groups were statistically signifi cant(P<0.05). There was no signifi cant dif ference in the incidence of postoperative complications before and after the application of evidence(P>0.05). Conclusion Based on the best evidence, the post-operative position and bed rest time of patients undergoing transfemoral artery intervention were applied to clinical nursing practice, which shortened the bed rest time after transfemoral artery intervention, did not increase the incidence of complications, and reduced the incidence of pain of the postoperative low back. The quality of care and comfort for patients has been signifi cantly improved.更多还原