طراحی و اعتباربخشی دستورالعمل های مراقبتی مبتنی بر شواهد در بی خوابی و یبوست بیماران اعصاب و روان

Background:Evidence-based care guidelines are one of the new ways to improve the quality of care and increase patient satisfaction. In addition to the mental and emotional problems, mentally ill patient suffers from multiple health problems. The most common patient s bio-psycho problems are insomnia and constipation. Aim: The aim of this study was to designing and Accredit the evidence-based care guidelines on insomnia, and constipation in psychiatric patients. Methods: This study is a developmental research and was performed in mental wards of the Baqiyatallah hospital in Tehran in 1392. Evidence-based care guidelines were designed based on the stetler model in evidence-based approach. To check the validity of the content instruction with Delphi method, comments of ten elected faculty members were considered in three different stages. Application of the guidelines was examined using ten experts in focused group discussions.  In addition to nursing books, 100 articles from proquest, Pubmed, Google scholar, Elsevier, SID, and Magiran with evidence based nursing care, insomnia, constipation, psychiatric patients, protocol keywords were studied. Results: In this study, 4 evidence-based care guidelines, including nursing diagnosis, etiology, evaluation criteria, and nursing interventions were designed. These guidelines can be used as a clinical guide for the care of psychiatric patients based on the credible scientific literature and evidence-based approach. Conclusion: With designing evidence-based nursing care instructions for psychiatric patients, the need of clinical nurses in confronting these patients was removed. It also leads to improve the quality of care and reduce complications in duration of the hospital stay.

Keywords:

Protocols , evidence based nursing care , insomnia , Constipation , psychiatric patients