早产儿胃潴留评估与处理的最佳证据总结及应用效果研究

doi:10.3761/j.issn.2096-7446.2025.10.004

Abstract

Abstract:

Objective To integrate the best evidence for the assessment and management of gastric retention in premature infants and apply it in clinical practice，and evaluate the application effects. Methods The best evidence for the assessment and management of gastric retention in premature infants was integrated. After baseline audits，analysis of barriers and facilitators，an optimal evidence-based practice protocol was developed and implemented in the Neonatal Intensive Care Unit（NICU） of a tertiary hospital from September to December 2023. Healthcare professionals’ cognitive levels，the implementation rates of audit indicators and the clinical outcomes of the infants were compared before and after the application of the evidence. Results Ultimately，10 pieces of best evidence were included. After the application of the evidence，nurses’ awareness of the evidence for assessing and managing gastric retention in premature infants increased，with cognitive levels for each indicator exceeding 80%. Healthcare professionals’ compliance with evidence-based practice behaviors improved，with implementation rates for each indicator exceeding 75%. The duration of parenteral nutrition in premature infants was shortened（P<0.05）. Conclusion The development and application of the best evidence for the assessment and management of gastric retention in premature infants improved healthcare professionals’ knowledge and standardized practice behaviors，which was beneficial for improving patient outcomes.

Key words: Premature Infants, Gastric Retention, Evidence-Based Nursing, Best Evidence

LI Changyan, YU Genzhen, DING Lingli, HAN Lingzhi, WANG Wenchao. Summary of the best evidence for the assessment and management of gastric retention in preterm infants and application effects[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(10): 1175-1182.

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Summary of the best evidence for the assessment and management of gastric retention in preterm infants and application effects

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