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神经重症患者留置双腔胃肠营养管护理专家共识

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目的 形成神经重症患者留置双腔胃肠营养管护理专家共识,推动护士规范、安全、有效地实施双腔胃肠营养管喂养,满足患者营养需求.方法 检索、评价和汇总神经重症患者胃肠营养管护理的相关证据,提取相关的推荐意见,形成专家共识初稿,通过1轮专家函询和2轮专家论证会,结合专家意见修改、完善各条目内容,形成专家共识终稿.结果 最终形成的专家共识包括神经重症患者双腔胃肠营养管喂养的操作性定义、置管适应证、置管禁忌证、置管及维护、拔管指征5个方面.结论 形成的专家共识实用性较强,可为神经重症患者双腔胃肠营养管的临床护理实践和质量控制提供指导依据.
Expert consensus on nursing of indwelling double-cavity gastrointestinal nutrition tube for patients with severe neurological diseases
Objective To form expert consensus on nursing of indwelling double-cavity gastrointestinal nutrition tube for patients with severe neurological diseases,so as to push clinical nurses implement standardized,safe and effective double-cavity gastrointestinal nutrition tube feeding,then to meet the nutritional needs of patients.Methods Relevant evidence on nursing of gastrointestinal nu-trition tube for patients with severe neurological diseases was retrieved,evaluated and summarized,and relevant recommendations were extracted to form the preliminary draft of expert consensus,which was modified and improved according to expert opinions through a one-round expert consultation and a two-rounds expert demonstration meeting,then the final draft of expert consensus was developed.Results The final expert consensus consisted of 5 aspects:the operational definition,indications,contraindications,catheterization and maintenance,and extubation of double-cavity gastrointestinal nutrition tube feeding in patients with severe neu-rological diseases.Conclusion The expert consensus is practical and can provide guidance for clinical nursing practice and quality control of double-cavity gastrointestinal nutrition tube in patients with severe neurological diseases.

severe neurological diseaseenteral nutritiondouble-cavity gastrointestinal nutrition tubegastric tubeintesti-nal tubetube feedinggastrointestinal decompressionexpert consensus

张晓梅、袁超、罗彦嗣、李慧娟、杜敏、张小培、李淑恩、项丽君、崔艳丽

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南方医科大学南方医院神经内科(广东广州,510515)

中山大学附属第三医院护理部

广州市中西医结合医院护理部

广东省中医院神经重症科

东莞市人民医院普济院区神经内科ICU

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神经重症 肠内营养 双腔胃肠营养管 胃管 肠管 管饲喂养 胃肠减压 专家共识

广东省基础与应用基础研究基金自然科学基金项目南方医科大学南方医院"临床研究专项"

2022A15150121842023CR026

2024

10.3870/j.issn.1001-4152.2024.18.048

护理学杂志
华中科技大学同济医学院

护理学杂志

CSTPCD北大核心
影响因子：2.062
ISSN：1001-4152
年,卷(期)：2024.39(18)