危重患者肠内营养喂养不耐受预测模型的概况性评价
Predictive models for enteral nutrition feeding intolerance in critically ill patients:A scoping review
王敏 1龙建英 1袁梦圆 1焦品莲 2钟明明 1孙珊珊 1张彩云1
作者信息
- 1. 兰州大学 护理学院,甘肃 兰州 730000;兰州大学第一医院门诊部,甘肃 兰州 730000
- 2. 兰州大学第一医院放疗科,甘肃 兰州 730000
- 折叠
摘要
目的 系统综述国内外危重患者肠内营养喂养不耐受预测模型工具,为临床选择、应用和未来研究提供参考.方法 系统检索中、英文数据库,2名研究人员独立筛选文献、提取数据并评估风险偏倚.结果 最终纳入12篇文献,包括10篇预测模型开发研究及2篇验证研究,总体预测性能良好,但偏倚风险较高.年龄、机械通气、血糖、腹内压、急性生理和慢性健康评分Ⅱ、镇静镇痛药是预测危重患者肠内营养喂养不耐受的重要因子.结论 危重患者肠内营养喂养不耐受预测模型构建研究较多,但临床适用性能还需进一步验证.同时,应研究不同疾病类型危重患者的喂养不耐受预测模型,结合信息化系统,实现喂养不耐受高风险患者筛选和管理的流程化、科学化、信息化.
Abstract
Objective To conduct a scoping review of predictive models for enteral nutrition feeding intoler-ance in critically ill patients at home and abroad,so as to provide reference for clinical selection,application and future research direction.Methods Focusing on prediction model of enteral nutrition feeding intolerance in critically ill patients,Chinese and English databases were systematically searched.Screening of the litera-ture and extraction of data were independently conducted by two researchers.Results Twelve studies in total were included,consisting of 10 studies on the development of prediction model tools and 2 studies on perfor-mance verification.The overall prediction performance was good,while the risk of bias was high.Age,blood glucose,mechanical ventilation,sedative and analgesic drugs,acute physiology and chronic health evaluationⅡ,intra-abdominal pressure are important factors for predicting enteral nutrition feeding intolerance in criti-cally ill patients.Conclusion There are many studies on the development of risk prediction models for enteral nutrition feeding intolerance in critically ill patients,but the clinical applicability should be clarified through effective verification.The development of feeding intolerance prediction models for critically ill patients with different disease types should be carried out,combined with the information system,so as to real-ize the process,scientific and information screening and management of enteral nutrition feeding intolerance high-risk patients.
关键词
危重患者/喂养不耐受/预测模型/概况性评价Key words
critical patient/feeding intolerance/risk prediction/scoping review引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据