Yue L Q, Pi X Q, Fan X G
XiangYa School of Public Health of Central South University, Changsha 410008, China.
Zhonghua Shao Shang Za Zhi. 2016 Jul 20;32(7):442-6. doi: 10.3760/cma.j.issn.1009-2587.2016.07.016.
To analyze the current research status of evidence-based nursing of burn in the mainland of China, in order to provide basis for the improvement of scientificity of burn nursing practice.
Chinese scientific articles on evidence-based nursing of burn in the mainland of China published from January 1997 to December 2015 were retrieved from Chinese Biology Medicine disc, Chinese Journals Full-text Database, Wanfang Database, and VIP Database. From the results retrieved, date with regard to publication year, region of affiliation of the first author, journal distribution, literature type, literature quality assessment, topic of evidence-based research, fund program support, implementation of evidence-based practice steps, and language and quantity of reference. Data were processed with Microsoft Excel software.
A total of 50 articles conforming to the criteria were retrieved. (1) Articles about evidence-based nursing of burn arose in 2004. Compared with that in the previous year, there was no obvious increase in the number of relevant articles in each year from 2004 to 2011. The number of literature in 2012 was obviously increased than that in each year from 2004 to 2011, while the number of literature in each year from 2012 to 2015 was not obviously increased compared with that in the previous year. (2) The regions of affiliation of the first author were distributed in 13 provinces, 3 minority autonomous regions, and 3 municipalities, with the largest distribution in East China, and Northwest China and Southwest China in the follow. (3) The articles were published in 32 domestic journals, with 9 (28.12%) nursing journals, 5 (15.62%) burn medical related journals, and 18 (56.25%) other journals. Twenty (40%) articles were published in Source Journal for Chinese Scientific and Technical Papers. (4) Regarding the literature type, 31 (62%) articles dealt with clinical experiences, 17 (34%) articles dealt with scientific research, and 2 (4%) articles dealt with case report. (5) There were 21 quantitative study articles and 29 narrative study articles, all with low quality. (6) The topics of evidence-based research in these articles were mainly burn rehabilitation, burn nursing technology, pediatric burn, inhalation injury and airway management, and complications of burn injury. Only one study was supported by fund program. (7) Only one article described complete evidence-based practice steps. (8) The literature cited 57 English articles as references, with an average of 1.14, and 316 Chinese articles, with an average of 6.32.
The concept of evidence-based nursing of burn has been initially formed in the mainland of China. The number of relevant articles is on the rise, but the quality needs to be further improved. There is an urgent need to improve nurses' understanding of evidence-based nursing and their command of the method of evidence-based practice through on-job training, so as to improve the scientificity and effectiveness of burn nursing.
分析我国大陆地区烧伤循证护理的研究现状，为提高烧伤护理实践的科学性提供依据。
检索中国生物医学光盘数据库、中国期刊全文数据库、万方数据库及维普数据库中1997年1月至2015年12月发表的有关我国大陆地区烧伤循证护理的中文科技论文。从检索结果中提取发表年份、第一作者单位所在地区、期刊分布、文献类型、文献质量评价、循证研究主题、基金项目支持情况、循证实践步骤实施情况以及参考文献的语种和数量等数据。数据采用Microsoft Excel软件进行处理。
共检索到符合标准的文章50篇。（1）烧伤循证护理相关文章于2004年出现。2004年至2011年各年度相关文章数量与上一年相比无明显增加。2012年文献数量较2004年至2011年各年度明显增加，而2012年至2015年各年度文献数量与上一年相比无明显增加。（2）第一作者单位所在地区分布于13个省、3个少数民族自治区和3个直辖市，华东地区分布最多，其次为西北地区和西南地区。（3）文章发表于32种国内期刊，其中护理期刊9种（28.12%），烧伤医学相关期刊5种（15.62%），其他期刊18种（56.25%）。20篇（40%）文章发表于《中国科技论文统计源期刊》。（4）文献类型方面，31篇（62%）为临床经验总结，17篇（34%）为科研论文，2篇（4%）为病例报告。（5）有定量研究文章21篇，描述性研究文章29篇，质量均较低。（6）这些文章的循证研究主题主要为烧伤康复、烧伤护理技术、小儿烧伤、吸入性损伤与气道管理以及烧伤并发症。仅有1项研究获得基金项目支持。（7）仅有1篇文章描述了完整的循证实践步骤。（8）文献引用英文文章57篇，平均每篇引用1.14篇；引用中文文章316篇，平均每篇引用6.32篇。
我国大陆地区烧伤循证护理理念已初步形成，相关文章数量呈上升趋势，但质量有待进一步提高。急需通过在职培训提高护士对循证护理的认识及循证实践方法的掌握程度，以提高烧伤护理的科学性和有效性。
