[1]王燕,沈露明,周萍,等.成人尿石症患者尿液代谢评估标本采集方案的循证实践[J].军事护理,2022,39(08):21-24,33.[doi:10.3969/j.issn.2097-1826.2022.08.006]
　WANG Yan,SHEN Luming,ZHOU Ping,et al.Evidence-based Practice of Specimen Collection Protocol for Assessment of Urine Metabolism in Adult Urolithiasis Patients[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(08):21-24,33.[doi:10.3969/j.issn.2097-1826.2022.08.006]
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成人尿石症患者尿液代谢评估标本采集方案的循证实践
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
39
期数:
2022年08期
页码:
21-24,33
栏目:
循证护理实践专栏
出版日期:
2022-08-15

文章信息/Info

Title:
Evidence-based Practice of Specimen Collection Protocol for Assessment of Urine Metabolism in Adult Urolithiasis Patients
文章编号:
2097-1826(2022)08-0021-05
作者:
王燕1; 沈露明1; 周萍1; 肖蕾2; 徐彦1; 陈雪花1
(1.江苏省中医院 泌尿外科,江苏 南京 210029; 2.江苏省中医院 护理部)
Author(s):
WANG Yan1; SHEN Luming1; ZHOU Ping1; XIAO Lei2; XU Yan1; CHEN Xuehua1
(1.Department of Urology,Jiangsu Provincial Hospital of Traditional Chinese Medicine,Nanjing 210029,Jiangsu Province,China; 2.Nursing Department,Jiangsu Hospital of Traditional Chinese Medicine)
关键词:
尿石症;  24 h尿;  代谢评估;  循证护理
Keywords:
urolithiasis;  24-hour urine;  metabolic assessment;  evidence-based care
分类号:
R47; R828.1
DOI:
10.3969/j.issn.2097-1826.2022.08.006
文献标志码:
A
摘要:
目的 基于最佳证据制定和应用成人尿石症患者尿液代谢评估标本采集方案,提高医护人员对专科检查认知水平,提高标本采集合格率。方法 采用JBI(Joanna Briggs Institute)临床证据应用模式,2020年4月至2021年3月按照“基线质量审查-最佳证据临床应用-第2轮质量审查”3个步骤实施证据临床应用,比较证据应用前后医护相关知识得分和标本采集合格率。结果 证据应用后医护认知水平提高,标本采集合格率提高。结论 成人尿石症患者尿液代谢评估标本采集证据与实践有较大差距,开展循证实践有利于证据有效转化。
Abstract:
Objective To construct a specimen collection protocol for assessment of urine metabolism in adult urolithiasis patients in clinical practice,and to improve the cognitive level of medical staff on specialized examination,and improve the qualified rate of specimen collection.Methods By referencing to Joanna Briggs Institute(JBI)model for evidence-based healthcare,a clinical application of the best evidences were implemented in three steps,namely baseline quality review,best evidence clinical application and second round of quality review from April 2020 to March 2021,and the scores of medical staff knowledge before and after evidence application and urine metabolic samples were compared.Results The medical cognition level and the qualified rate of specimen collection were both improved after the best evidence application.Conclusions There is a large gap between the evidence collection of urine metabolic assessment specimens in adult patients with urolithiasis,and the evidence-based practice is conducive to the effective transformation of evidence to clinical practice.

参考文献/References:

[1] 那彦群.2014版中国泌尿外科疾病诊断治疗指南[M].北京:人民卫生出版社,2013:169-178.
[2] FERRARO P M,TICINESI A,MESCHI T,et al.Short-term changes in urinary relative supersaturation predict recurrence of kidney stones:a tool to guide preventive measures in urolithiasis[J].J Urol,2018,200(5):1082-1087.
[3] D'ALESSANDRO C,FERRARO P M,CIANCHI C,et al.Which diet for calcium stone patients:a real-world approach to preventive care[J/OL].[2021-05-28].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6566930/.DOI:10.3390/nu11051182.
[4] ABU-GHANEM Y,SHVERO A,KLEINMANN N,et al.24-h urine metabolic profile:is it necessary in all kidney stone formers?[J].Int Urol Nephrol,2018,50(7):1243-1247.
[5] DAMASIO P C,AMARO C R,PADOVANI C R,et al.Influence of clinical therapy and nutritional counseling on the recurrence of urolithiasis[J].Acta Cir Bras,2014,29(6):400-404.
[6] NG D M,HALEEM M,MAMUCHASHVILI A,et al.Medical evaluation and pharmacotherapeutical strategies in management of urolithiasis[J/OL].[2021-05-28].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7907714/.DOI:10.1177/1756287221993 300.
[7] 胡雁,郝玉芳.循证护理学[M].2版.北京:人民卫生出版社,2018:81-82.
[8] BROUWERS M C,KHO M E,BROWMAN G P,et al.AGREE Ⅱ:advancing guideline development,reporting,and evaluation in health care[J].J Clin Epidemiol,2010,63(12):1308-1311.
[9] 陶欢,杨乐天,平安,等.随机或非随机防治性研究系统评价的质量评价工具AMSTAR 2解读[J].中国循证医学杂志,2018,18(1):101-108.
[10]PERRONE R D,INKER L A.Patient education:collection of a 24-hour urine specimen(beyond the basics)[EB/OL].[2021-05-28].https://www.uptodate.com/contents/collection-of-a-24-hour-urine-specimen-beyond-the-basics/print.
[11]PREMINGER G M,CURHAN G C.Evaluation of the adult patient with established nephrolithiasis and treatment if stone composition is unknown[EB/OL].[2021-05-28].https://www-uptodate-com.rpa.skh.org.tw/contents/evaluation-of-the-adult-patient-with-established-nephrolithiasis-and-treatment-if-stone-composition-is-unknown?search=24%20hr%20urine&source=search_result&selectedTitle=6～150&usage_type=default&display_rank=6#H723435.2019-05/2020-04.
[12]PREMINGER G M,CURHAN G C.The first kidney stone and asymptomatic nephrolithiasis in adults [EB/OL].[2021-05-28].https://www.uptodate.com/contents/zh-Hans/kidney-stones-in-adults-evaluation-of-the-patient-with-established-stone-disease?search=The%20first%20kidney%20stone%20and%20asymptomatic%20nephrolithiasis%20in%20adults&source=search_result&selectedTitle=3～150&usage_type=default&display_rank=3.
[13]The Joanna Briggs Institute.Urine specimen:24 hour[EB/OL].https://79583e7e9e43ec2b5ca41-9764ca2d3fc.casb.njucm.edu.cn//ovidweb.cgi?&T=JS&PAGE=titles&MODE=ovidclassic & NEWS=n&D=jbi&SEARCH=24+Hour+Urine+Specimen.2020-04/2020-04.
[14]European Association of Urology.Urolithiasis[EB/OL].[2021-05-28].https://uroweb.org/guideline/urolithiasis/#note_478.2020/2020-04.
[15]GHIRALDI E M,BRAITMAN L E,FRIEDLANDER J I.Factors associated with compliance with 24-hour urine collection[J].Urology,2020,142:65-69.
[16]SPIVA L,HART P L,PATRICK S,et al.Effectiveness of an evidence-based practice nurse mentor training program[J].Worldviews Evid Based Nurs,2017,14(3):183-191.
[17]张彩凤,闫影影,刘素芬,等.不能自行如厕婴幼儿尿液标本非侵入性采集方法的循证实践[J].解放军护理杂志,2021,38(1):53-56.
[18]周文宾,谷小林.尿液标本采集处理有规可依——《尿液标本的收集和处理指南》标准解读[J].中国卫生标准管理,2012,3(1):30-37.
[19]张海红,孙玉梅,苏叶,等.晨尿与24 h尿液成分的一致性分析[J].中华现代护理杂志,2018,24(32):3900-3904.
[20]BOTTIN J H,LEMETAIS G,POUPIN M,et al.Equivalence of afternoon spot and 24-h urinary hydration biomarkers in free-living healthy adults[J].Eur J Clin Nutr,2016,70(8):904-907.
[21]LESLIE S W,SAJJAD H,BASHIR K.24-hour urine testing for nephrolithiasis interpretation[M/OL].[2021-05-28].https://www.ncbi.nlm.nih.gov/books/NBK482448/.

备注/Memo

备注/Memo:
【 收稿日期 】 2021-06-18 【 修回日期 】 2022-04-20
【 基金项目 】 江苏省中医院课题(Y17005); 中国药膳研究专委会课题(19229); 江苏省研究生科研与实践创新计划项目(SJCX20-0596)
【 作者简介 】 王燕,硕士,副主任护师,从事泌尿外科护理工作
【 通信作者 】 肖蕾,电话:025-86617141
更新日期/Last Update: 2022-08-15