以质量求发展，以服务铸品牌

护理学报 ›› 2020, Vol. 27 ›› Issue (24): 24-30.doi: 10.16460/j.issn1008-9969.2020.24.024

• 循证护理 • 上一篇    下一篇

轻、中重症急性胰腺炎患者早期经口进食的循证实践

曹春菊1a, 张兰芳2, 王彩芳1b, 罗丹华1b, 徐秀平1a, 庄聪琼1a, 黄梅英1a, 黄炜铃1a, 李文英1a   

  1. 1.广州医科大学附属第六医院（清远市人民医院）a.普外科;b.护理部,广东 清远511518;
    2.南方医科大学南方医院,广东 广州510400
  • 收稿日期:2019-12-03 出版日期:2020-12-25 发布日期:2021-01-15
  • 作者简介:曹春菊（1981-）,女,湖南永州人,硕士,副主任护师,副教授,护士长。

Best Evidence Summary for Early Oral Feeding in Patients with Mild to Moderate Severe Acute Pancreatitis

CAO Chun-ju1a, ZHANG Lan-fang2, WANG Cai-fang1b, LUO Dan-hua1b, XU Xiu-ping1a, ZHUANG Cong-qiong1a, HUANG Mei-ying1a, HUANG Wei-ling1a, LI Wen-ying1a   

  1. 1a. Dept. of General Surgery; 1b. Dept. of Nursing Administration, Qingyuan People’s Hospital, the Sixth Affiliated Hospital of Guangzhou Medical University, Qingyuan 511518, China;
    2. Nanfang Hospital, Southern Medical University, Guangzhou 510400, China
  • Received:2019-12-03 Online:2020-12-25 Published:2021-01-15

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摘要： 目的 总结急性胰腺炎患者早期经口进食的最佳证据,并评价其应用效果。方法 通过对急性胰腺炎早期经口进食相关主题的系统检索及质量评价,纳入指南10篇,专家共识4篇,系统评价和综述11篇,随机对照研究3篇,总结9条最佳证据。并结合临床情景和专业判断,制订了5条基于证据的质量审查标准,在普外科病房开展质量审查。结果 证据应用前后,医护人员对最佳证据的知晓率提高,患者恶心、呕吐、腹痛、腹胀并发症发生率,血清淀粉酶、脂肪酶变化差异无统计学意义（P>0.05）,患者进食时间提早,患者住院时间缩短（P<0.001）。结论 基于证据的轻、中重症急性胰腺炎患者早期进食的最佳证据应用,能有效提高医护人员应用证据的依从性,促进患者康复。

关键词: 急性胰腺炎, 早期进食, 经口进食, 循证实践

Abstract: Objective To summarize the best evidence of early oral feeding in patients with acute pancreatitis and evaluate its effect. Methods Through systematic retrieval and quality evaluation of the literature regarding early oral feeding of patients with acute pancreatitis, 10 guidelines, 4 expert consensus,11 articles of systematic evaluation and review, and 3 articles of RCT were included and 9 pieces of best evidence were summarized. Combined with clinical situation and professional judgment, 5 evidence-based quality review standards were formulated and quality review was carried out in general surgical wards. Results Before and after the application of the evidence, the awareness rate of the best evidence was improved. The incidence of nausea, vomiting, abdominal pain and abdominal distension complications and the changes of serum amylase and lipase were not statistically significant (P>0.05) but the time of eating was earlier, and the length of hospital stay was shorter (P<0.001). Conclusion The best evidence application of early oral feeding in patients with acute pancreatitis based on evidence can effectively improve the compliance of medical staff to use evidence and promote the recovery of patients.

Key words: acute pancreatitis, early feeding, eating orally, evidence-based practice

中图分类号: 

  • R473.57
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