天津护理2025，Vol.33Issue(5)：526-533,8.DOI:10.3969/j.issn.1006-9143.2025.05.005
基于证据的持续质量改进模式在肿瘤患儿化疗所致恶心呕吐管理中的应用
The application of evidence-based continuous quality improvement models in the management of chemotherapy-induced nausea and vomiting in pediatric oncology patients
摘要
Abstract
Objective:To conduct continuous clinical quality improvement based on the best evidence for the management of chemotherapy-induced nausea and vomiting(CINV)in pediatric oncology patients.Methods:According to the imple-mentation framework of the evidence-based continuous quality improvement model,we obtained the best evidence,conducted situation analysis,developed review indicators,analyzed barrier factors,constructed and implemented an evidence-based practice from March to October 2024.The incidence and severity of acute and delayed CINV,implementation of each review indicator,and the scores of healthcare providers' knowledge,attitude,and practice regarding CINV before and after the application of the evidence for CINV in pediatric oncology patients were compared.Results:The incidence and severity of both acute and delayed CINV decreased significantly(P＜0.05).Except for review indicator 11,which showed no significant difference in two reviews(P＞0.05),the remaining review indicators were significantly improved(P＜0.05).The guideline compliance rate of antiemetic regimens increased from 35.9％to 66.5％.The healthcare providers' CINV knowledge,attitude,and practice score increased with statistically significant differences before and after the intervention(P＜0.05).Conclusion:The evidence-based continuous quality improvement model can effectively reduce the incidence and severity of CINV,improve the awareness and implementation rates of healthcare providers regarding the best evidence for the management of CINV,and thus improve the clinical outcomes of pediatric patients.关键词
肿瘤/患儿/化疗所致恶心呕吐/持续质量改进/循证护理Key words
Oncology/Pediatric patients/Chemotherapy-induced nausea and vomiting/Continued quality improvement/Evidence-based nursing分类
医药卫生引用本文复制引用
杨玉云,蔡瑞卿,刘龙珍,吴思莹,管惠捷,邓军..基于证据的持续质量改进模式在肿瘤患儿化疗所致恶心呕吐管理中的应用[J].天津护理,2025,33(5):526-533,8.基金项目
中山大学肿瘤防治中心循证护理实践改善项目 （）
