預(yù)防乳腺癌病人上臂植入式輸液港感染的循證實(shí)踐

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Evidence-based practice of prevention of arm implantable port-related infection in patients with breast cancer

WANG Huixin，HUANG Limei，F(xiàn)U Youyuan，LIU Yangchen，ZHAO Huihui，WU Jiahua，ZHOU Chunjiao，WEI Lin，LIN Meizhen，ZHANG GuangqingGuangdong Provincial Hospital of Traditional Chinese Medicine，Guangdong 510120 ChinaCorresponding Author HUANG Limei，E-mail：[email protected]

Abstract Objective：To carry out the evidence-based practice of prevention of arm implantable port-related infection in patients with breast cancer，found the best evidence and applied it in clinical practice to reduce the incidence of infection.Methods：Following the JBI clinical evidence practical application model，there were three stages：the previous baseline review，the changes in evidence application practice，and the effect of the application of evidence.Searched for the Chinese and English databases，obtained evidence of the best strategy of preventing arm implantable port-related infection，and 21 pieces of evidence were extracted，and 16 pieces of evidence were adopted according to the FAME structure，which were converted into 16 review indicators，which were applied to clinical practice and evaluated their effects.Results：The incidence arm implantable port-related infection in patients after the application of evidence was lower than before the application of evidence （P<0.05），the scores of the nurse and patient knowledge questionnaire were higher than before application （P<0.05）.Among the 16 indicators reviewed，except for indicators 3 and 6 and 11-15，the implementation rate reached 100% before the application，and the implementation of the remaining 9 indicators was better than before the application of the evidence （P<0.05）.Conclusion：The evidence based practice of prevention of arm implantable port-related infection in patients with breast cancer can reduce the incidence of arm implantable port-related infection，standardize the training of the arm implantable port，and improve the professional knowledge level of nurses and improve the knowledge of infusion tube maintenance of patients.

Keywords breast cancer;arm implantable port-related infection;prevention;evidence-based practice；evidence-based nursing

摘要 目的：開展預(yù)防乳腺癌病人上臂植入式輸液港感染的循證實(shí)踐，尋找最佳證據(jù)并應(yīng)用于臨床，以降低感染發(fā)生率。（剩余12424字）