摘要
目的 总结危重症患者肠内营养喂养中断预防及管理最佳证据,为防范肠内营养喂养中断提供指引.方法 以循证护理方法学构建护理问题,按照"6S"证据模型检索BMJ Best Practice、UpToDate、JBI循证卫生保健中心数据库、欧洲临床营养与代谢学会、美国肠外肠内营养学会、医脉通(指南版)、PubMed、Web of Science、中国知网、万方数据、中国生物医学文献等数据库中关于危重症患者肠内营养喂养中断预防及管理相关主题的文献,检索时限为建库至2023年6月10日.由2名研究者独立对纳入的文献进行评价和证据提取.结果 共纳入34篇研究,总结了 23条最佳证据,包括肠内营养中断定义、肠内营养启动时机、肠内营养评估与监测、肠内营养中断原因、肠内营养中断时机、预防和管理肠内营养中断策略、培训与教育7个方面.结论 本研究总结的危重症患者肠内营养中断预防及管理的最佳证据,可为临床医护人员分析肠内营养中断原因、制定临床肠内营养中断干预方案提供循证依据.
Abstract
Objective To retrieve and select relevant evidence on the prevention and management of enteral feeding interruption(EFI)in critically ill patients,and to provide theoretical basis for clinical healthcare professionals to prevent and manage EFI in critically ill patients.Methods We utilized evidence-based nursing methodology to construct nursing questions,and conducted literature search according to the"6S"evidence model across databases like BMJ Best Practice,UpToDate,JBI,the European Society for Clinical Nutrition and Metabolism,the American So-ciety for Parenteral and Enteral Nutrition,Medlive(Guideline Version),PubMed,Web of Science,CNKI,Wanfang Data,and SinoMed,etc.The search was limited to literature published up to June 10,2023.Two researchers independently evaluated and extracted evidence from the included publications.Results A total of 34 publications were included,from which 23 pieces of best evidence were summarized,covering seven aspects:definition of EFI,timing of starting enteral nutrition,assessment and monitoring of enteral nutrition,causes for EFI,timing of EFI,strategies for prevention and management of EFI,and training and education.Conclusion The best evidence summarized in this study regarding the prevention and management of EFI in critically ill patients can provide a basis for clinical healthcare professionals to analyze causes for EFI and to develop clinical intervention plans for EFI.
基金项目
2021年华中科技大学同济医学院附属协和医院药技护专项基金(02.03.2021-35)
NETL
NSTL
万方数据