Clinical practice of best evidence of early activity in gynecological postoperative patients

YIN Huanhuan; YANG Lan; HUANG Xiaoyan

doi:10.12102/j.issn.2095-8668.2024.22.006

Abstract：Objective:To apply the best evidence of early activity of gynecological postoperative patients into clinical practice and evaluate its application effect,so as to provide reliable evidence-based medical evidence support for the practice of early activity of gynecological postoperative patients.Methods:The surgical patients hospitalized from July to October 2021 in a tertiary class A obstetrics and gynecology hospital were selected as the study objects.100 patients from July to August 2021 will be used as control group;100 patients from September to October 2021 were selected as the intervention group.On the basis of evidence-based practical,the best evidence of early activity of patients after gynecological surgery was applied to observe the outcome indicators of patients before and after the application of evidence,the knowledge level of nurses on early gynecological activity after surgery and the compliance of review indicators.Results:The application of the best evidence shortened the patient's first postoperative exhaust and hospital stay,and improved the patient's satisfaction,the difference was statistically significant;The qualified rate of knowledge assessment of nursing staff increased from 15.79％to 84.21％,and the difference was statistically significant(P＜0.05).Among the review indicators,the implementation rates of indicators 3,6,7,8 and 10 were all increased from 0 to 100％,and the implementation rates of indicators 2,4,11 and 12 were increased from 92％,87％,26％and 0 to 99％,96％,99％and 99％,respectively,with statistically significant differences(P＜0.05).Conclusion:The application of the best evidence of early activity after gynecological surgery can shorten the time of first exhaust and postoperative hospital stay,improve the satisfaction of patients and the knowledge level of nurses.