The clinical practice guide for nasogastric tube feeding in adult patients(2023 update version)
Objective To update the Clinical Practice Guide for Adult Feeding via Nasogastric Intubation con-structed in 2015.Method Based on the NICE update process,expert correspondence and nurse interviews were con-ducted to identify the chapters that need to be added and revised,and the best evidence on nasal feeding care was systematically searched on professional websites and databases from January 2022 to March 2023.Three researchers independently extracted and summarized the literature,and the recommendation level was determined through expert correspondence,and a preliminary draft of the guidelines was formed based on the CheckUP update guide report list.The guidelines were revised and improved through on-site argumentation and external review to finalize final version of the updated guidelines.Result Compared with the original guidelines,the updated guidelines had added chapters on improving gastrointestinal function and blood sugar control,deleted the chapters of nutritional formulas and ad-verse events reporting related to nasogastric feeding,and focused on updating 13 chapters on nasogastric feeding pre-evaluation,gastric tube placement,and nasogastric feeding.There were a total of 67 updated and supplemented guidelines,with 52 strong recommendations and 15 weak recommendations.Conclusion This study summarizes the latest evidence related to adult patients'nasal feeding at present,and updates the original Clinical Practice Guide for Adult Patients Feeding through Nasogastric Intubation,which can further provide the best clinical decision for clinical nasal feeding nursing management and standardize the nursing process of nasal feeding.
adult patientsnasogastric tube feedingguidelinessystematic evaluationsummary of evi-dencenursing