主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
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• 特别策划·重症护理进展 • 上一篇    下一篇

重症脑损伤患者肠内营养支持的护理实践与依据

刘芳 高岚 王宇娇 王冉   

  1. 首都医科大学宣武医院神经内科重症监护病房,100053 北京市(刘芳,王冉);吉林大学第一医院神经内科ICU(高岚,王宇娇)
  • 出版日期:2017-09-25 发布日期:2017-09-25

Nursing practice and evidence of patients with severe craniocerebral injury receiving enteral nutrition support

  • Online:2017-09-25 Published:2017-09-25

摘要: 目的:提高护士在给予重症脑损伤患者肠内营养支持时护理操作实践的正确性与规范性。方法:从万方、CNKI、维普、中国生物医学文献数据库、Pubmed、Elsevier Science、Wiley Online Library、Web of Science检索了2000年至今的重症脑损伤患者肠内营养支持的相关文献,并进行阅读、整理、总结、归纳。根据牛津循证医学中心循证证据水平分级2011证据分级标准,进行证据和推荐意见的确认,将肠内营养支持的护理实践内容进行梳理。结果:筛选出营养筛查,营养护理干预(包括鼻胃、肠管的置入,体位管理,喂养方法),营养过程中并发症的监测与护理,停止营养的评估等推荐内容。结论:促进临床神经重症监护室护士安全、有效、规范地在临床中进行肠内营养支持的实施。

Abstract: Objective: To improve the accuracy and standardization of nursing practice in the process of administration of enteral nutrition support to patients with severe craniocerebral injury. Methods: With craniocerebral injury/brain injury/nutritional support/enteral nutrition as the search term, we searched and selected references from WANGFANG DATA, CNKI, VIP, SinMed, Pubmed, Elsevier Science, Wiley Online Library and Web of Science from 2000 to this day. We read, analyzed and summarized these references of enteral nutrition support for patients with severe craniocerebral injury. According to the 2011 evidence classification standard issued by Oxford Centre for Evidence-based Medicine, we confirmed the evidence and recommendation, and sorted out the nursing practice of enteral nutrition support. Results: We formulated the nutrition screening method and nutrition nursing interventions, including placement of gastric tubes and intestinal tubes, body position management, feeding practice, monitoring and nursing of complications during the process of nutrition support. Conclusion: It could help to promote safe, effective and standardized nursing practice in Neurological Intensive Care Unit according to those nursing practice confirmed.