期刊论文

Best evidence summary for prevention and management of enteral feeding intolerance in critically ill patients

中文

中华护理杂志

0254-1769

2019

54

12

1868-1876

10.3761/j.issn.0254-1769.2019.12.021

本校为其他机构

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...

Objective To select and obtain the best evidence of prevention and management of feeding intolerance (FI) in critically ill patients with enteral nutrition support so as to provide guidance for clinical practitioners to reduce the incidence rate of FI. Methods Using the method of evidence-based nursing, clinical question of FI prevention and management in critically ill patients with enteral nutrition support was raised. Relevant research was retrieved by computer search. JBI evidence appraisal tools and recommendation system were used to evaluate quality of studies and level of evidence. Resu...