以质量求发展，以服务铸品牌

护理学报 ›› 2021, Vol. 28 ›› Issue (16): 22-26.doi: 10.16460/j.issn1008-9969.2021.16.022

• 循证护理 • 上一篇    下一篇

上消化道术后患者肠内营养喂养不耐受预防及管理的最佳证据总结

康莉1, 王翠玲2a, 田佳2b, 许晨丽3   

  1. 1.山西医科大学 护理学院,山西 太原 030001;
    2.山西省肿瘤医院 a.护理部;b.放疗科,山西 太原 030013;
    3.山西医科大学第二医院 重症医学科,山西 太原 030001
  • 收稿日期:2021-04-08 出版日期:2021-08-25 发布日期:2021-09-10
  • 通讯作者: 王翠玲（1966-）,女,山西大同人,硕士,主任护师,护理部主任。E-mail：ty.wangcuiling@163.com
  • 作者简介:康莉（1996-）,女,山西吕梁人,本科学历,硕士研究生在读。

Best Evidence Summary for Prevention and Management of Enteral Feeding Intolerance in Patients after Upper Gastrointestinal Surgery

KANG Li1, WANG Cui-ling2a, TIAN Jia2b, XU Chen-li3   

  1. 1. School of Nursing, Shanxi Medical University, Taiyuan 030001, China;
    2a. Dept. of Nursing Administration; 2b. Dept. of Radiation Oncology,Shanxi Provincial Cancer Hospital, Taiyuan 030013, China;
    3. Intensive Care Unit,Second Hospital of Shanxi Medical University, Taiyuan 030001,China
  • Received:2021-04-08 Online:2021-08-25 Published:2021-09-10

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摘要： 目的 检索并评价上消化道术后患者肠内营养喂养不耐受预防及管理的相关证据,并对最佳证据进行总结。方法 系统检索万方、PubMed、Cochrane Library、医脉通和欧洲临床营养和代谢学会等数据库、指南网站以及专业协会的所有关于上消化道术后患者肠内营养喂养不耐受预防及管理的证据,包括临床决策、临床实践指南、证据总结、系统评价及专家共识,检索从建库到2020年10月20日。由2名研究者独立对纳入的文献进行质量评价与证据提取。结果 共纳入10篇文献,从评估、营养制剂配方、喂养方案、药物使用、预防及处理6个方面汇总22条最佳证据。结论 本研究为临床医护人员提供了上消化道术后患者肠内营养喂养不耐受预防及管理的实践参考,建议在评估机构环境及利益相关者的意愿后选择性应用最佳证据,以提升护理质量。

关键词: 上消化道, 外科手术, 肠内营养, 喂养不耐受, 循证护理

Abstract: Objective To select, evaluate and summarize the best evidence on prevention and management of feeding intolerance in patients after upper gastrointestinal surgery. Methods We systematically searched websites of professional organizations, websites of clinical practice guidelines and databases for guidelines, evidence summary, systematic review and expert consensus from the inception to October 20, 2020. Research quality evaluation and evidence extraction were conducted independently by 2 researchers. Results Ten articles were selected, and 22 pieces of best evidence were summarized, including assessment, enteral formula, drug administration, enteral feeding protocol, prevention and management. Conclusion The best evidence on prevention and management of feeding intolerance in patients after upper gastrointestinal surgery provides reference for improving the quality of nursing care, and best evidence should be applied with the consideration of environment,conditions, and stakeholder’s willingness.

Key words: upper gastrointestinal tract, surgical procedures, operative, enteral nutrition, feeding intolerance, evidence-based nursing

中图分类号: 

  • R473.6
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