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在产后会阴疼痛管理中实施基于证据的实践。

Implementation of evidence-based practices in the perineal pain management in the postpartum period.

机构信息

Universidade de São Paulo. São Paulo, São Paulo, Brazil.

Centro Brazileiro para o Cuidado à Saúde Baseado em Evidências: Centro de Excelência do JBI. São Paulo, São Paulo, Brazil.

出版信息

Rev Bras Enferm. 2021 Sep 29;75(2):e20210084. doi: 10.1590/0034-7167-2021-0084. eCollection 2021.

Abstract

OBJECTIVES

To implement strategies for managing perineal pain in puerperal women admitted to a public maternity hospital in São Paulo state and to evaluate their compliance with evidence-based practices.

METHODS

Implementation study using the JBI model conducted with nursing professionals and puerperal women between September and December 2019. Interviews with puerperal women and medical record data were used to audit seven evidence-based criteria. The interventions adopted included a care protocol, professional training, and folder elaboration for puerperal women.

RESULTS

Prior to the intervention, deficits in audited practices and obstacles to pain management were identified, which were overcome by the strategies employed. The follow-up audit demonstrated improvements in compliance with best care practices.

CONCLUSION

There was an increase in the criteria compliance evaluated after the implemented strategies, contributing to improving the nursing care results in the perineal pain management based on the best scientific evidence.

摘要

目的

在圣保罗州的一家公立医院实施管理产妇会阴疼痛的策略,并评估其对循证实践的依从性。

方法

2019 年 9 月至 12 月,采用 JBI 模式对护理专业人员和产妇进行实施研究。使用对产妇的访谈和病历数据来审核七个循证标准。所采取的干预措施包括护理方案、专业培训和产妇文件夹的制定。

结果

在干预之前,确定了审核实践中的缺陷和疼痛管理障碍,这些问题通过所采用的策略得到了克服。后续审核显示,最佳护理实践的依从性有所提高。

结论

实施策略后,评估的标准依从性有所增加,有助于根据最佳科学证据改善会阴疼痛管理的护理结果。

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