Contemporary Nursing

Objective Based on the "PET Evidence Based Nursing Practice Model", this study aims to develop the best evidence-based practice plan for perioperative constipation management in patients undergoing spinal internal fixation surgery, and apply it to clinical practice to evaluate its effectiveness. Methods Retrieve clinical practice guidelines, systematic reviews, and other evidence-based resources in relevant fields, obtain the best evidence, and analyze it to form the "Best Evidence Based Practice Plan for Perioperative Constipation Management in Patients Undergoing Spinal Internal Fixation Surgery". Apply this plan to patients undergoing spinal internal fixation surgery to test its effectiveness. The control group was from May to August 2019, and the observation group was from May to August 2020, with 120 cases in each group. Results The incidence of constipation in the observation group was 32.5%, significantly lower than that in the control group (45.2%), P<0.05. The average score of constipation knowledge assessment for nurses at all levels after training [(89.18 ± 10.468)] was significantly higher than that before training [(52.74 ± 13.023)], and the differences were statistically significant (P<0.05). Conclusion The practice plan based on the "PET Evidence Based Nursing Practice Model" can prevent the occurrence of perioperative constipation in patients undergoing spinal internal fixation surgery, improve the attention and knowledge mastery of nursing staff on the defecation situation of such patients, and provide a basis and reference for clinical management.

Spinal internal fixation; Perioperative period; Constipation; Evidence based practice; Evidence based nursing