Speaker
Description
Objective
This study aims to develop and implement an evidence-based bleeding management protocol for renal biopsy patients tailored to clinical application scenarios and evaluate its effectiveness.
Methods
Using the "6S" evidence pyramid model, we systematically searched evidence synthesis databases, clinical practice guideline websites, evidence synthesis/systematic review databases and relevant original research databases for literature related to post-renal biopsy bleeding. The literature was subjected to quality evaluation, evidence extraction, and thematic summarization.
According to the Knowledge-to-Action (KTA) framework, stakeholder meetings were held to identify evidence items for inclusion. The research team discussed and developed review indicators, conducted a baseline review, analyzed the gap between clinical scenarios and evidence, and identified facilitators and barriers. An initial draft of the bleeding risk management plan for renal biopsy patients was developed, refined through two rounds of expert consultations, and finalized.
The bleeding management plan was implemented in pilot wards,A pre-post study design was adopted, selecting patients undergoing renal biopsy from October 2023 to March 2024,The incidence of bleeding and adverse events before and after the intervention were compared to validate the effectiveness of the plan. Data analysis was conducted using SPSS 27.0 software.
Results
A total of 11 articles were included, comprising 1 in Chinese and 10 in English, from which 34 pieces of evidence were extracted. The plan covered five aspects: bleeding risk assessment, prevention, postoperative monitoring, physical activity, and bleeding care. Post-implementation, nurse knowledge levels and adherence to review indicators significantly improved, with statistically significant differences (p < 0.001). The implementation of the bleeding risk management plan significantly reduced the incidence of post-renal biopsy bleeding, ensuring patient safety.
Conclusion
By applying the KTA model to integrate evidence into clinical practice, The preliminary application of the plan demonstrated its feasibility, practicality, and effectiveness in significantly reducing the incidence of post-renal biopsy bleeding.
Author(s) Credentials and Title
supervisor nurses, nursing manager，
Keywords
KTA，Renal Biopsy，Evidence-Based Practice ，bleeding
What RNAO BPG or tool/toolkit is this work related to:
AGREE
| Organization Name | Peking University First Hospital |
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