摘要目的? 探讨导尿管清洁最佳证据在临床应用中的障碍因素.方法? 2018年9—10月,基于理论域框架(Theoretical Domains Framework, TDF)制订访谈提纲,便利选取北京大学第一医院泌尿外科病房的19名护士进行半结构访谈,依据访谈结果进行内容分析.结果? 本研究总结了与理论域框架4个领域有关的障碍因素,分别为社会/职业角色及认同、对结果的信心、环境因素和资源和社会影响.再次提取主题,分别为科室缺乏知识转化的流程及规范、患者自我管理能力欠佳、导尿管清洁资源不充足.结论? 影响导尿管清洁最佳证据临床应用中的因素是多样的,包括系统层面、患者层面和资源供给.需要科室探索建立知识转化的规范,提高术后患者自我管理能力,提供充足的导尿管清洁的资源,推进最佳导尿管清洁证据的临床应用.

abstractsObjective To explore the barriers in the clinical use of evidence-based urethral catheter cleaning. MethodsThe interview outline was developed based on the Theoretical Domains Framework (TDF) from September to October 2018. Totally 19 nurses working in the Department of Urinary Surgery at Peking University First Hospital was selected for semi-structural interview by convenient sampling, and content analysis was conducted based on the results. ResultsA total of 4 barriers related to 4 domains under the TDF were found in this study, namely, social / professional roles and identities, confidence in results, environmental factors and resources, and social impact. The subjects were extracted on this basis, which were lack of knowledge conversion process and norms in the department, poor self-management ability in the patients, and insufficient catheter cleaning resources. ConclusionsThe clinical use of evidence-based urethral catheter cleaning is affected by multiple factors, including systems, patients and resource availability. Departments need to explore and develop the norms for knowledge transformation, improve the self-management ability of postoperative patients, provide sufficient resources for catheter cleaning, and promote the clinical use of evidence-based urethral catheter cleaning.