以质量求发展，以服务铸品牌

Journal of Nursing ›› 2021, Vol. 28 ›› Issue (16): 22-26.doi: 10.16460/j.issn1008-9969.2021.16.022

Previous Articles     Next Articles

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

PDF (PC)

279

Like

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

CLC Number: 

  • R473.6
[1] Blaser AR, Starkopf J, Kirsimägi Ü, et al.Definition, Prevalence,and Outcome of Feeding Intolerance in Intensive Care: A Systematic Review and Meta-analysis[J]. Acta Anaesthesiol Scand, 2014,58(8):914-922. DOI:10.1111/aas.12302.
[2] Lavrentieva A, Kontakiotis T, Bitzani M.Enteral Nutrition Intolerance in Critically Ill Septic Burn Patients[J]. J Burn Care Res,2014,35(4):313-318.DOI:10.1097/BCR.0b013e3182a22403.
[3] Gungabissoon U, Hacquoil K, Bains C, et al.Prevalence, Risk Factors, Clinical Consequences, and Treatment of Enteral Feed Intolerance during Critical Illness[J]. JPEN J Parenter Enteral Nutr, 2015, 39(4):441-448. DOI:10.1177/0148607114526450.
[4] 林碧霞,许丽春,杨毅端.重症鼻饲患者喂养不耐受症状管理的证据总结[J].中国护理管理,2019,19(2):280-286.DOI:10.3969/j.issn.1672-1756.2019.02.025.
[5] 米元元,黄培培,董江,等.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.DOI:10.3761/j.issn.0254-1769.2019.12.021.
[6] 周芬,郝玉芳,丛雪,等.指南研究与评价工具AGREE Ⅱ及各领域分值的补充解释及思考[J].护理学报,2018,25(18):56-58.DOI:10.16460/j.issn1008-9969.2018.18.056.
[7] 韩柳,杨宏艳,刘飞,等.无针输液接头临床应用的最佳证据总结[J].中华护理杂志,2020, 55(8):1239-1246.DOI:10.3761/j.issn.0254-1769.2020.08.024.
[8] 熊俊,陈日新.系统评价/Meta分析方法学质量的评价工具AMSTAR[J].中国循证医学杂志, 2011,11(9):1084-1089.DOI:10.3969/j.issn.1672-2531.2011.09.017.
[9] The Joanna Briggs Institute (JBI). Critical appraisal tools[EB/OL].[2020-10-20].http://joannabriggs.org/research/critical-appraisal-tools.html.
[10] 高兴莲,余文静,肖瑶,等.手术患者围术期压力性损伤预防及管理最佳证据总结[J].护理学报, 2021,28(6):22-26.DOI:10.16460/j.issn1008-9969.2021.06.022.
[11] Weimann A, Braga M, Carli F, et al.ESPEN Guideline: Clinical Nutrition in Surgery[J]. Clin Nutr, 2017, 36(3):623-650. DOI:10.1016/j.clnu.2017.02.013.
[12] McClave SA, Taylor BE, Martindale RG, et al. Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition(A.S.P.E.N.)[J]. JPEN J Parenter Enteral Nutr,2016,40(2):159-211.DOI:10.1177/0148607115621863.
[13] McClave SA, DiBaise JK, Mullin GE, et al. ACG Clinical Guideline: Nutrition Therapy in the Adult Hospitalized Patient[J]. Am J Gastroenterol, 2016, 111(3):315-335. DOI:10.1038/ajg.2016.28.
[14] Reintam Blaser A, Starkopf J, Alhazzani W, et al.Early Enteral Nutrition in Critically Ill Patients: ESICM Clinical Practice Guidelines[J]. Intensive Care Med, 2017, 43(3):380-398. DOI:10.1007/s00134-016-4665-0.
[15] Boullata JI, Carrera AL, Harvey L, et al.ASPEN Safe Practices for Enteral Nutrition Therapy[J]. JPEN J Parenter Enteral Nutr,2017,41(1):15-103.DOI:10.1177/0148607116673053.
[16] Sandra J. Gastrointestinal Function Post Surgery: Chewing Gum[EB/OL].(2019-04-14)[2020-10-20].http://ovidsp.dc2.ovid.com/ovid-a/ovidweb.cgi?&S=DKAIFPCEJLEBAHBAIPAKHGOGAIOOAA00&Link+Set=S.sh.18%7c2%7csl_190.
[17] Deborah E. Gastrointestinal Cancer: Nutrition Assessment and Management[EB/OL]. (2019-09-02)[2020-10-20].http://ovidsp.dc2.ovid.com/ovid-a/ovidweb.cgi?&S=DKAIFPCEJLEBAHBAIPAKHGOGAIOOAA00&Link+Set=S.sh.39%7c13%7csl_190.
[18] Madhava Sai S. Nasoenteric Tube Feeding (Adults): Monitoring[EB/OL]. (2020-03-01)[2020-10-20].http://ovidsp.dc2.ovid.com/ovid-a/ovidweb.cgi?&S=DKAIFPCEJLEBAHBAIPAKHGOGAIOOAA00&Link+Set=S.sh.42%7c4%7csl_190.
[19] Kokura Y, Suzuki C, Wakabayashi H, et al.Semi-solid Nutrients for Prevention of Enteral Tube Feeding-related Complications in Japanese Population: A Systematic Review and Meta-analysis[J]. Nutrients, 2020, 12(6):1687. DOI:10.3390/nu12061687.
[20] 易怀秀,顾平,刘言.腹腔镜术后咀嚼口香糖促进胃肠道功能恢复效果的Meta分析[J].中国护理管理, 2020,20(8):1196-1203.DOI:10.3969/j.issn.1672-1756.2020.08.017.
[21] 王春青,胡雁.JBI证据预分级及证据推荐级别系统(2014版)[J].护士进修杂志,2015,30(11):964-967.DOI:10.16821/j.cnki.hsjx.2015.11.002.
[22] Hosseini SN, Mousavinasab SN, Rahmanpour H, et al.Comparing Early Oral Feeding with Traditional Oral Feeding in Upper Gastrointestinal Surgery[J]. Turk J Gastroenterol, 2010, 21(2):119-124. DOI:10.4318/tjg.2010.0068.
[23] Reintam Blaser A, Malbrain ML, Starkopf J, et al.Gastrointestinal Function in Intensive Care Patients:Terminology, Definitions and Management. Recommendations of the ESICM Working Group on Abdominal Problems[J]. Intensive Care Med, 2012, 38(3):384-394.DOI:10.1007/s00134-011-2459-y.
[24] Chinese Acute Pancreatitis Clinical Trials Group, Chinese Critical Care Nutrition Trials Group.Effectiveness of Feeding Protocol on Nutritional Therapy and Clinical Outcomes in Critically Ill Patients: A Multi-Centered, Cluster-Randomized,Parallel-Controlled Trial[EB/OL].(2019-12-15).[2020-03-19].https://capctg.medbit.cn/wp-content/uploads/2019/12/NEED_SAP-2019.12.15.pdf.
[25] 叶向红,许冰茹,王慧君,等.重症病人早期肠内营养误吸风险评估表的构建[J].肠外与肠内营养,2019, 26(6):346-350.DOI:10.16151/j.1007-810x.2019.06.007.
[26] Lottes Stewart M.Nutrition Support Protocols and Their Influence on the Delivery of Enteral Nutrition: A Systematic Review[J]. Worldviews Evid Based Nurs, 2014, 11(3):194-199. DOI:10.1111/wvn.12036.
[27] Heyland DK, Murch L, Cahill N, et al.Enhanced Protein-energy Provision via the Enteral Route Feeding Protocol in Critically Ill Patients: Results of a Cluster Randomized Trial[J]. Crit Care Med, 2013, 41(12):2743-2753. DOI:10.1097/CCM.0b013e31829efef5.
[28] Lewis K, Alqahtani Z, Mcintyre L, et al.The Efficacy and Safety of Prokinetic Agents in Critically Ill Patients Receiving Enteral Nutrition: A Systematic Review and Meta-analysis of Randomized Trials[J]. Crit Care, 2016, 20(1):259. DOI:10.1186/s13054-016-1441-z.
[1] LI Ping, JIN Xiao-wen, LI Yan-ling, XU Yu-lan, YU Jiao-hua, LI Zhuo-ying, LI Ying, DENG Rui. Evidence Summary for Prevention and Management of Poor Bowel Preparation of Adult Patients with Colorectoscopy [J]. Journal of Nursing, 2021, 28(9): 22-28.
[2] GONG Yan, JIANG Qi-xia, CHEN Wen-fang, WANG Hai-hong, MA Li. A Comparative Study of Predictive Effects of Three Assessment Scales on Surgical Acquired Pressure Injuries [J]. Journal of Nursing, 2021, 28(9): 66-70.
[3] DU Jin-lei, CHEN Zhi-mei, QIN Lan-fang, LIAN Jie, SUN Wen-jing, WANG Xiang, XU Wei, ZOU Xiao-yue. Development and Application of Extended Enteral Nutrition Management Scheme for Elderly ICU Patients Based on Circadian Rhythm [J]. Journal of Nursing, 2021, 28(7): 1-5.
[4] GAO Xing-lian, YU Wen-jing, XIAO Yao, HU Juan-juan, ZHAO Shi-yu, YANG Ying. Best Evidence Summary for Prevention and Management of Perioperative Stress Injury [J]. Journal of Nursing, 2021, 28(6): 22-26.
[5] ZHU Wei-wei, XU Yang-zi, HUO Wan-jun, CHEN Ci-yu, LI Yuan-tian, LING Dong-lan. Best Evidence Summary for Assessment and Management of Pain in Elderly Patients with Dementia [J]. Journal of Nursing, 2021, 28(5): 32-37.
[6] GUO Yue-hua, DANG Yan, ZHANG Peng, LIU Shu. Nursing of Premature Babies with High Location Enteric Necrosis Undergoing Bishop-koop Stoma Procedure: A 6-case Study [J]. Journal of Nursing, 2021, 28(5): 59-61.
[7] WANG Ya-ling, WANG Bing-han, ZHANG Yan, YIN Xue, JIANG Xin, XIONG Xiao-ming, LI Hua-li. Best Evidence Summary for Prevention of Hemorrhagic Transformation after Thrombolysis in Patients with Acute Ischemic Stroke [J]. Journal of Nursing, 2021, 28(3): 46-52.
[8] CAI Ying-ying, ZHANG Jun-feng, ZHENG Ke-xin, ZHANG Lan-fang, YU Lu-ping, ZENG Wen, CHEN Meng-yun, HUANG Qiong-shan. Best Evidence Summary for Assessment and Management of Falls in Elderly Cancer Patients [J]. Journal of Nursing, 2021, 28(18): 22-27.
[9] ZUANG Shan-shan, ZHANG Zhuan-yun, WANG Jiang. Best Evidence Summary for Evaluation and Intervention of Postoperative Shivering in Patients in Post Anesthesia Care Unit [J]. Journal of Nursing, 2021, 28(18): 35-40.
[10] XIONG Zhao-yu, LI Su-yun, YANG Sai, KE Hui, HUANG Hai-yan, ZHOU Hui-Min, YAN Rong, LIU Yun-Fang, LIU Tian-Yi. Construction of Evidence-based Early Warning Grading Standard and Interventions for Enteral Nutrition-related Constipation in Inpatients [J]. Journal of Nursing, 2021, 28(17): 70-75.
[11] SHEN Yan, CHEN Lan, FEI Kai-hong, PAN Heng-de, YU Jia-qi, WANG Ying, JIANG Yan-hua, ZHANG Jie, YAO Ye-ying. Best Evidence Summary of Early Mobilization after Liver Transplantation [J]. Journal of Nursing, 2021, 28(16): 16-21.
[12] ZHANG Yan-hong, LUO Cai-feng, MI Yuan-yuan, ZHU Li-qun, LIU Qiao-yan, YAN Xue-qin, ZHANG Zheng-yi, HUANG Han-peng. Best Evidence Summary for Management of Long-term Oxygen Therapy in Patients with Chronic Obstructive Pulmonary Disease [J]. Journal of Nursing, 2021, 28(15): 35-41.
[13] LU shu-ying, LIU ning, LIAN Min-xue. Best Evidence Summary of Blood Glucose Monitoring and Management in Diabetes Patients with Acute Stroke [J]. Journal of Nursing, 2021, 28(15): 42-47.
[14] ZHANG Ying, WANG Xiao-ling, YANG Ting, YIN Zhuan-ye, HU Yan. Best Evidence Summary for Cuff Size Selection for Blood Pressure Measurement in Hospitalized Adult Patients [J]. Journal of Nursing, 2021, 28(14): 22-25.
[15] LV Yun-xia, FENG Shao-juan, LIU Zheng-wei, CHEN Yan-qiu, LIU Jie, HUANG Jie-ying. Best Evidence Summary for Prevention of Early Airway Complications in Children with Non-mechanical Ventilation after Tracheotomy [J]. Journal of Nursing, 2021, 28(13): 46-51.
Viewed
Full text


Abstract

Cited
  Shared   
[1] . [J]. JOURNAL OF NURSING, 2012, 19(1): 31 .
[2] . [J]. JOURNAL OF NURSING, 2012, 19(1): 39 -41 .
[3] . [J]. JOURNAL OF NURSING, 2012, 19(1): 51 -52 .
[4] LIU Ping,LEI Zhen,YANG Li-qin,JIA Jin-li. Prevention of Deep Venous Thrombosis of Patients Undergoing Gynecological Laparoscopic Surgery with Intermittent Pneumatic Compression[J]. JOURNAL OF NURSING, 2012, 19(1): 53 -55 .
[5] . [J]. JOURNAL OF NURSING, 2012, 19(1): 65 -66 .
[6] HU Ya-ni,LIN Ping,ZHONG Yuan,ZHANG Jin-li. Survey on Self-management Knowledge of Patients after Percutaneous Coronary Intervention[J]. JOURNAL OF NURSING, 2012, 19(1): 12 -15 .
[7] ZHANG Rui-hong,DONG Xiu-juan,WU Chao,HAO Li,SHAO Jing-hui,MA Hui-na. Influence of Integrated Community Rehabilitation Intervention on the Activities of Daily Living and Life Satisfaction in Stroke Patients[J]. JOURNAL OF NURSING, 2012, 19(1): 67 -70 .
[8] . [J]. JOURNAL OF NURSING, 2012, 19(1): 70 -72 .
[9] . [J]. JOURNAL OF NURSING, 2012, 19(2): 60 -61 .
[10] . [J]. JOURNAL OF NURSING, 2012, 19(2): 62 -63 .