关键词: 吸入性损伤；肺康复；审查指标；影响因素；循证实践

Abstract: Objective: To develop scientific management strategies for pulmonary rehabilitation management in burn patients with inhalation injuries, aiming to provide a reference for standardizing their pulmonary rehabilitation management practices. Methods: The integrated Promoting Action on Research Implementation in Health Services framework was used as a guide and 17 pieces of evidence on pulmonary rehabilitation management for inhalation injury obtained from a previous study were included. Then, review indicators were developed, review methods were clarified, and analyses of factors affecting change were carried out on indicators with an implementation rate lower than 60.0% in terms of factors related to change, factors related to the recipients of change, and factors related to the organizational environment on the basis of expert interviews. Change strategies were formulated based on these analyses. Results: A total of 35 review indicators were formulated, with 19 indicators having an implementation rate of less than 60.0%. The obstacles included three aspects: failure to develop a pulmonary rehabilitation assessment process in accordance with the evidence in the change-related factors; the lack of knowledge and skills in pulmonary rehabilitation management among healthcare workers in the change-receiver-related factors; and the lack of pulmonary rehabilitation equipment in the organizational environment-related factors. Facilitating factors covered management support, high multidisciplinary teamwork motivation, and good hospital information system development capabilities. In addition, specific change strategies such as the formation of multidisciplinary teams and the construction of workflows were clarified. Conclusion: There is still a large gap between clinical practice and evidence in the management of pulmonary rehabilitation in burn patients with inhalation injuries. Healthcare professionals should make full use of facilitators and work to overcome barriers for effective application of the evidence.

Key words: inhalation injury; pulmonary rehabilitation; review indicator; influencing factor; evidence-based practice