Evidence summary for the prevention and management of enteral nutrition-associated vomitting in patients with mechanical ventilation
Objective:To summarize the evidence for the prevention and management of enteral nutrition-related vomitting in patients with mechanical ventilation,so as to provide guidance for clinical nursing practice.Methods:Based on the methods of evidence-based nursing,clinical questions about the prevention and management of enteral nutrition-related vomitting in patients with mechanical ventilation were raised.According to the 6S evidence pyramid model,literatures on the prevention and management of enteral nutrition-related vomitting in hospitalized patients were retrieved from relevant websites and databases both at home and abroad from their inception to June 5,2024.Two researchers with evidence-based nursing research background independently evaluated the quality of the literatures and extracted evidence to sort them out and analyze them.Results:A total of 16 articles were included,containing 5 guidelines,4 expert consensus,4 evidence summaries,3 systematic reviews.We summarized 26 pieces of evidence which were then classified into 3 themes,namely,risk assessment and risk factor identification,prevention and treatment,and monitoring and management of enteral nutrition-associated vomitting in patients with mechanical ventilation.Conclusion:This study summarizes the evidence for the prevention and management of enteral nutrition-associated vomitting in mechanically ventilated patients so that nurses can follow the evidence and select personalized prevention and management plans combined with clinical situations to promote evidence-based nursing practice of those patients.
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