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中风患者的口腔卫生:最佳实践实施项目方案

Oral Hygiene in Patients with Stroke: A Best Practice Implementation Project Protocol.

作者信息

Cardoso Ana Filipa, Ribeiro Liliana Escada, Santos Teresa, Pinto Maribel, Rocha Cláudia, Magalhães Joana, Augusto Berta, Santos Diana, Duque Filipa Margarida, Fernandes Beatriz Lavos, Sousa Rosário Caixeiro, Silva Rosa, Ventura Filipa, Fernandes António Manuel, Cardoso Daniela, Rodrigues Rogério

机构信息

Nursing School of Coimbra, 3004-011 Coimbra, Portugal.

The Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), Avenida Bissaya Barreto, 3004-011 Coimbra, Portugal.

出版信息

Nurs Rep. 2023 Jan 31;13(1):148-156. doi: 10.3390/nursrep13010016.

Abstract

Oral hygiene has been shown to reduce adverse events and promote the quality of life of patients with stroke. However, a stroke can result in the impairment of physical, sensory, and cognitive abilities, and comprise self-care. Although nurses recognize its benefits, there are areas for improvement in the implementation of the best evidence-based recommendations. The aim is to promote compliance with the best evidence-based recommendations on oral hygiene in patients with stroke. This project will follow the JBI Evidence Implementation approach. The JBI Practical Application of Clinical Evidence System (JBI PACES) and the Getting Research into Practice (GRiP) audit and feedback tool will be used. The implementation process will be divided into three phases: (i) establishing a project team and undertaking the baseline audit; (ii) providing feedback to the healthcare team, identifying barriers to the implementation of best practices, and co-designing and implementing strategies using GRIP, and (iii) undertaking a follow-up audit to assess the outcomes and plan for sustainability. So, the successful adoption of the best evidence-based recommendations on oral hygiene in patients with stroke will reduce the adverse events related to poor oral care and may improve patients' quality of care. This implementation project has great transferability potential to other contexts.

摘要

口腔卫生已被证明可减少不良事件,并提高中风患者的生活质量。然而,中风可能导致身体、感官和认知能力受损,并影响自我护理。尽管护士认识到其益处,但在实施最佳循证建议方面仍有改进空间。目的是促进中风患者对口腔卫生最佳循证建议的依从性。本项目将遵循循证卫生保健国际合作中心(JBI)的证据实施方法。将使用循证卫生保健国际合作中心临床证据系统的实际应用(JBI PACES)以及将研究转化为实践(GRiP)审核与反馈工具。实施过程将分为三个阶段:(i)组建项目团队并进行基线审核;(ii)向医疗团队提供反馈,确定实施最佳实践的障碍,并使用GRiP共同设计和实施策略;(iii)进行后续审核以评估结果并制定可持续性计划。因此,成功采用中风患者口腔卫生最佳循证建议将减少与口腔护理不佳相关的不良事件,并可能改善患者的护理质量。该实施项目具有很大的潜力可转移到其他环境中。

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