关键词: 失代偿性肝硬化, 肠内营养, 营养评估, 德尔菲法, 护理

Abstract:

Objective To establish an enteral nutrition risk assessment and management scheme for patients with decompensated liver cirrhosis and to provide a reference for clinical practice. Methods The literature related to the risk assessment and management of enteral nutrition in patients with decompensated liver cirrhosis was searched in domestic and international databases. The research team members formed an enteral nutrition risk and management scheme primarily for patients with decompensated liver cirrhosis,and then 2 rounds of expert correspondence were conducted to revise the draft and determine the content by Delphi method from September to November 2021. Results 14 experts were included,and the authoritative coefficients of the 2 rounds of correspondence with experts were 0.838 and 0.839,respectively. The Kendal harmony coefficient and expert coordination coefficient of the primary,secondary,and tertiary indicators were 0.836,0.714 and 0.683 in the second-round correspondence,and the coefficient of variation of each indicator ranged from 0 to 0.23. A final version of nutritional risk assessment and management scheme for patients with decompensated liver cirrhosis was finally constructed,including 5 first-level indicators,14 second-level indicators,and 18 third-level indicators. Conclusion The established enteral nutrition risk assessment and management scheme for patients with decompensated liver cirrhosis is rigorous,scientific,and reliable,which can provide a reference for clinical practice.

Key words: Decompensated Liver Cirrhosis, Enteral Nutrition, Nutrition Assessment, Delphi Method, Nursing Care