首页|重型颅脑损伤行亚低温疗法患者腹泻管理的最佳证据总结

重型颅脑损伤行亚低温疗法患者腹泻管理的最佳证据总结

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目的 检索并获取符合行亚低温疗法的重型颅脑损伤患者腹泻管理的最佳证据。方法 按照循证资源 6S模型自上而下的原则检索相关数据库和网站,对纳入文献进行质量评价、证据提取总结。结果 纳入 13 篇有关文献,包括 1 篇临床决策、5 篇指南、3 篇专家共识、2 篇随机对照试验、2 篇系统评价。最终提取了腹泻病因评估筛查、相关指标监测与控制、合理进行肠内喂养、提高胃肠耐受性、腹泻并发症预防和人员培训与管理等 6 个维度,共 26 条证据。结论 总结的行亚低温疗法的重型颅脑损伤患者腹泻管理相关证据,可为临床工作者对行亚低温疗法的重型颅脑损伤患者腹泻管理提供循证依据,进而降低患者腹泻发生率,改善住院期营养状态,早日实现身体康复。
Summary of the best evidence for diarrhea management in patients with severe craniocerebral injury treated with mild hypo-thermia therapy
Objective To retrieve and obtain the best evidence for diarrhea management in patients with severe craniocerebral injury who are treated with mild hypothermia therapy.Methods Relevant databases and websites were searched according to the top-down principle of the evidence-based 6S model,and the quality of the included articles was evaluated and evidence extracted and summarized.Results A total of 13 relevant literatures were included,including 1 clinical decisions,5 guidelines,3 expert consensus,2 RCTs and 2 systematic re-views.Finally,a total of 26 pieces of evidence were extracted from 6 dimensions,including etiology evaluation and screening of diarrhea,moni-toring and control of related indicators,reasonable enteral feeding,improvement of gastrointestinal tolerance,prevention of diarrhea complica-tions,and personnel training and management.Conclusion The relevant evidence of diarrhea management in patients with severe craniocere-bral injury treated with mild hypothermia can provide evidence-based basis for clinical workers to manage diarrhea in patients with severe craniocerebral injury treated with mild hypothermia,so as to reduce the incidence of diarrhea in patients,improve the nutritional status during hospitalization,and achieve physical recovery as soon as possible.

mild hypothermianutritional intolerancediarrheasummary of evidencesevere diseasebest evidence

刘凡、王芳、徐淑娴、何磊、王冉、陈璐

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210008,南京市,江苏大学鼓楼临床医学院

210008,南京市,南京大学医学院附属鼓楼医院神经外科

210008,南京市,南京大学医学院附属鼓楼医院护理部

亚低温 营养不耐受 腹泻 证据总结 重症疾病 最佳证据

南京鼓楼医院临床研究专项资金立项项目高层次卫生人才"六个一工程"拔尖人才项目

2021-LCYJ-MS-05LGY2020012

2024

护理管理杂志
中国人民解放军北京军区总医院

护理管理杂志

CSTPCD
影响因子:2.38
ISSN:1671-315X
年,卷(期):2024.24(1)
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