Abstract:

Background: Clinical practice guidelines refer to the guidance provided by the expert system to help medical staff and patients decide on appropriate treatments for a specific clinical situation, mainly including guidelines based on expert consensus and evidence-based guidelines. Since there is no research and clinical application of a specific stoma guidance in China. It is of great significance to understand the application status of the recommended guidelines and the influencing factors in promoting the development of stoma care.

Purpose: To investigate the application status of recommended clinical practice guidelines for stoma nursing in China, and to analyse the reasons for the knowledge and application of recommendations.

Methods: The Questionnaire on the Application of Recommendations in Clinical Practice Guidelines for Ostomy Nursing was adopted.

Results: We collected 195 questionnaires and 183 valid questionnaires were available. ①The average knowledge rate of a total of 31 recommendations was 73.65%. The main reasons for unknown were insufficient dissemination and lack of training. ②The average application rate of the 31 recommendations was 58.08%. The overall satisfaction rate of people who used them was high. The main reasons for not applying recommendations were complex.

Conclusions: Different levels of recommendations awareness and application are different. There is a lack of evidence-based guidelines for clinical practice in ostomy nursing in the field of stoma care in China, which limits the scientific development of stoma care to a certain extent. However, this study provides reference for the future construction of a guidebook adapted to our country's localization.

Key words:  Clinical practice guideline, Recommendations, Application status, Ostomy Care