中华护理杂志 ›› 2019, Vol. 54 ›› Issue (12): 1868-1876.DOI: 10.3761/j.issn.0254-1769.2019.12.021
米元元,黄培培,董江,蔡喆燚,吴白女,王励飞,孙亮,詹昱新,明耀辉,李巧云,李素云,罗健,黄海燕()
收稿日期:
2019-04-19
出版日期:
2019-12-15
发布日期:
2019-12-15
通讯作者:
作者简介:
米元元:男,本科(硕士在读),护师,E-mail:<email>autisland@whu.edu.cn</email>
MI Yuanyuan,HUANG Peipei,DONG Jiang,CAI Zheyi,WU Bainü,WANG Lifei,SUN Liang,ZHAN Yuxin,MING Yaohui,LI Qiaoyun,LI Suyun,LUO Jian,HANG Haiyan()
Received:
2019-04-19
Online:
2019-12-15
Published:
2019-12-15
摘要:
目的 检索并获取危重症患者肠内营养喂养不耐受预防及管理的相关证据,为临床提供参考。方法 应用循证护理的方法,针对成人危重症患者肠内营养喂养不耐受预防及管理提出问题,按照“6S”模型检索文献,采用澳大利亚JBI循证卫生保健中心的文献评价标准和证据分级系统(2014版)对各类研究进行文献质量评价及证据级别评定。 结果 结合专业人员的判断,汇总出22条危重症患者肠内营养喂养不耐受预防及管理的证据,包括喂养不耐受性评估、喂养不耐受危险因素、营养制剂配方管理、肠内营养喂养策略(喂养的途径、速度、温度)、体位管理、胃残余量监测、药物应用、腹内压监测与管理和中医疗法等9个方面。 结论 本研究总结了目前关于危重症患者肠内营养喂养不耐受预防及管理的最佳证据,为规范ICU护士实施肠内营养支持护理行为提供循证依据,以科学的护理方法来管理危重症患者肠内营养喂养不耐受的问题,提升护理质量。
米元元, 黄培培, 董江, 蔡喆燚, 吴白女, 王励飞, 孙亮, 詹昱新, 明耀辉, 李巧云, 李素云, 罗健, 黄海燕. 危重症患者肠内营养不耐受预防及管理的最佳证据总结[J]. 中华护理杂志, 2019, 54(12): 1868-1876.
MI Yuanyuan, HUANG Peipei, DONG Jiang, CAI Zheyi, WU Bainü, WANG Lifei, SUN Liang, ZHAN Yuxin, MING Yaohui, LI Qiaoyun, LI Suyun, LUO Jian, HANG Haiyan. Best evidence summary for prevention and management of enteral feeding intolerance in critically ill patients[J]. Chinese Journal of Nursing, 2019, 54(12): 1868-1876.
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