俯卧位通气患者肠内营养管理的最佳证据总结

doi:10.3761/j.issn.2096-7446.2023.02.003

摘要/Abstract

摘要： 目的检索、评价和总结与俯卧位通气患者肠内营养管理的最佳证据,为临床护理提供依据。方法计算机检索英国国家卫生与临床优化研究所、加拿大安大略注册护士协会、苏格兰学院间指南网、中国知网、万方数据库、中国生物医学文献数据库、中华医学期刊网、UpToDate、Cochrane Library、PubMed、欧洲肠内肠外营养学会、美国肠内肠外营养学会、美国重症医学会等数据库和网站关于俯卧位通气患者肠内营养管理的所有证据。由2名研究者对纳入的文献进行质量评价,并对符合质量标准的文献进行证据提取。结果共纳入20篇文献,总结出肠内营养时机、途径选择、准备、营养液的选择、喂养速度、耐受性管理与防误吸管理7个方面的23条最佳证据。结论该研究总结了关于俯卧位通气患者肠内营养管理的最佳证据,建议临床应用时,评估具体医疗环境,根据证据的促进及阻碍因素等进行有针对性的证据应用,科学开展俯卧位通气患者的肠内营养管理。

关键词: 俯卧位, 肠道营养, 重症监护病房, 危重病护理, 循证护理学

Abstract: Objective To retrieve,evaluate and summarize the evidence related to enteral nutrition management for patients with prone position ventilation,so as to provide evidence for clinical nursing. Methods We searched the National Institute for Health and Care Excellence（NICE）,Registered Nurses' Association of Ontario（RNAO）,Scottish Intercollegiate Guidelines Network（SIGN）,CNKI,Wanfang,CBM,China Medical Journal Network,UpToDate,Cochrane Library,PubMed,European Society for Parenteral and Enteral Nutrition,American Society for Parenteral and Enteral Nutrition,Society of Critical Care Medicine and other websites for all the evidence related to enteral nutrition management of patients with prone position ventilation. Two researchers evaluated the quality of the included literature and extracted evidence from the literature that met the quality standards. Results A total of 20 articles were included. We summarized 23 best evidences in 7 aspects of enteral nutrition including timing,route selection,preparation,selection of nutrient solution,feeding speed,tolerance and anti-aspiration management. Conclusion The best evidence for enteral nutrition management in prone position ventilation patients summarized in this study can provide evidence for the clinical practice. It is recommended that when applying evidence in clinical application,nurses should assess the specific medical environment,the promotion and obstacle factors of applying evidence,and then carry out targeted evidence application,scientifically carry out enteral nutrition management for patients with prone position ventilation.

Key words: Prone Position, Enteral Nutrition, Intensive Care Units, Critical Care Nursing, Evidence-based Nursing

张丽, 杨婷婷, 史丽萍, 王刚, 潘月帅, 林辉. 俯卧位通气患者肠内营养管理的最佳证据总结[J]. 中华急危重症护理杂志, 2023, 4(2): 112-118.

ZHANG Li, YANG Tingting, SHI Liping, WANG Gang, PAN Yueshuai, LIN Hui. Evidence summary of enteral nutrition management in patients with prone position ventilation[J]. Chinese Journal of Emergency and Critical Care Nursing, 2023, 4(2): 112-118.

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