Objective To translate evidence of "HIV/AIDS Clinical Nursing Practice Guideline" into clinical practice, in order to reduce the incidence and severity of symptoms of AIDS and to improve the quality of life of patients.
Methods We integrated the best evidence into the HIV/AIDS inpatient unit of a tertiary hospital for infectious disease in Shanghai, China between September 2013 and February 2015. Based on the "Ottawa Model of Research Use", this study was divided into four stages: evaluating the status quo, building the evidence-based strategy, applying evidence-based decision-making, and evaluating results and reflecting. 148 patients were either assigned to an intervention group with HIV/AIDS-related symptom management protocol (n=74), or to a usual care group (n=74) for the duration of their antiretroviral therapy. Then Medical Outcomes Questionnaire (MOS-HIV) were applied to evaluate the life quality after intervention.
Results Mixed-effects regression indicated significant difference between groups across time in total MOS-HIV score. The intervention group increased more than the control group 2.72 points in total MOS-HIV scores per month (P<0.05).
Conclusion The evidence-translation and evidence-based decision-making of "HIV/AIDS Clinical Nursing Practice Guideline" can regulate nurse behavior, raise the quality of clinical care and improve the patients' quality of life.
Citation：
ZHUZheng, HUYan, BAOMei-juan, ZHANGLin, ZHALi-jun, HOUXue-hong, LUHong-zhou. A Survey of Evidence Translation: Getting “HIV/AIDS Clinical Nursing Practice Guideline” into Clinical Practice. Chinese Journal of Evidence-Based Medicine, 2016, 16(5): 505-509. doi: 10.7507/1672-2531.20160078
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Copyright © the editorial department of Chinese Journal of Evidence-Based Medicine of West China Medical Publisher. All rights reserved
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- 1. Goldman L, Ausiello D, 王贤才. 西氏内科学. Elsevier, 2009: 3307.
- 2. Blank MB, Hanrahan NP, Fishbein M, et al. A randomized trial of a nursing intervention for HIV disease management among persons with serious mental illness. Psychiatr Serv, 2011, 62(11): 1318-1324.
- 3. Grimwood A, Fatti G, Mothibi E, et al. Community adherence support improves programme retention in children on antiretroviral treatment: a multicentre cohort study in South Africa. J Int AIDS Soc, 2012, 15(2): 17381.
- 4. 傅亮. 艾滋病临床护理实践指南的构建研究. 上海: 复旦大学, 2014.
- 5. Graham ID, Logan J. Innovations in knowledge transfer and continuity of care. Can J Nurs Res, 2004, 36(2): 89-103.
- 6. 傅亮, 胡雁, 卢洪洲, 等.反思艾滋病护理实践的质性研究. 解放军护理杂志, 2015, 32(7): 6-10.
- 7. 胡雁. 循证护理学. 北京: 人民卫生出版社, 2012: 102-104.
- 8. 杨芬, 柳青, 贾卫东, 等. 简体中文版MOS-HIV量表信度与效度评价. 中国公共卫生, 2007, 23(8): 981-982.
- 9. School of Translational Health Science and The Joanna Briggs Institute (JBI). A stagey for strengthening the translation of evidence into action across JBI programs. 2013, 11.
- 10. Dobrow MJ, Goel V, Lemieux-Charles L, et al. The impact of context on evidence utilization: A framework for expert groups developing health policy recommendations. Soc Sci Med, 2006, 63(7): 1811-1824.
- 11. Scott IA. 研究证据向临床实践转化的科学进展. 中国循证医学杂志, 2007, 7(6): 403-406.
- 12. Flitcroft K, Gillespie J, Salkeld G, et al. Getting evidence into policy: The need for deliberative strategies. Soc Sci Med, 2011, 72(7): 1039-1046.
- 13. Mark J. Dobrow MJ, Goel V, et al. Evidence-based health policy: context and utilization. Soc Sci Med, 2004, 58(1): 207-217.
