循证护理在呼吸与危重症医学科临床操作规范与技术优化中的研究进展
Research Advances in Evidence-Based Nursing for Clinical Practice Standards and Technological Optimization in Respiratory and Critical Care Medicine
摘要: 循证护理通过整合最佳研究证据、临床专业知识和患者价值观，显著提升了呼吸与危重症医学科的护理质量。本综述系统梳理了循证护理在该领域的理论基础、临床实践和技术进展，并探讨了其在流行病学分析、病理机制研究、诊断与治疗策略中的应用。研究显示，循证护理的实施可使呼吸危重症患者的主要并发症发生率降低35%~42%，ICU停留时间缩短近3天，28天生存率提升12.4%。然而，当前证据转化率不足(65.7%)和资源配置不均等问题仍需解决。未来发展方向包括建立多中心临床数据库、开发智能化辅助系统，以及加强国际合作与交流。本文旨在为临床实践、研究和护理教育提供全面的参考依据，推动循证护理在呼吸与危重症医学科的进一步应用。
Abstract: Evidence-Based Nursing (EBN) significantly improves the quality of care in respiratory and critical care medicine by integrating the best available research evidence, clinical expertise, and patient values. This review systematically examines the theoretical foundations, clinical practices, and technological advancements of EBN in this field, along with its applications in epidemiological analysis, pathological mechanisms, and diagnostic and therapeutic strategies. Studies demonstrate that EBN implementation reduces the incidence of major complications in critically ill respiratory patients by 35%~42%, shortens ICU stays by nearly 3 days, and improves 28-day survival rates by 12.4%. However, challenges such as insufficient evidence translation rates (65.7%) and uneven resource allocation remain unresolved. Future directions include establishing multicenter clinical databases, developing intelligent decision-support systems, and enhancing international collaboration. This review aims to provide a comprehensive reference for clinical practice, research, and nursing education, promoting the further application of EBN in respiratory and critical care medicine.
文章引用：汤晓婷, 曹晶, 李勇, 喻廷凤. 循证护理在呼吸与危重症医学科临床操作规范与技术优化中的研究进展[J]. 亚洲急诊医学病例研究, 2025, 13(3): 300-310. https://doi.org/10.12677/acrem.2025.133042

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