摘要
目的构建基于循证的胃癌患者术后肠内营养不足的预防护理方案。方法以JBI循证卫生保健模式为理论框架,对肠内营养相关的临床实践指南及原始研究进行文献分析、综合并提炼证据;采用牛津大学循证医学中心的证据分级和推荐强度标准评价证据质量;组织相关利益人群对证据进行可行性评定和调整,确立预防护理方案。结果方案包括胃癌患者营养状况评估、肠内营养实施流程、胃肠功能管理、管道护理、并发症护理及健康教育6个方面共18个推荐条目,其中11个A级证据推荐、7个B级证据推荐。结论预防护理方案基于最佳证据,结合临床实际、患者意愿及专业人员评定形成,为下一步的临床验证奠定了基础。
Objective To develop an evidence-based practice protocol for prevention of underfeeding in enteral support of patients with gastric cancer after gastrectomy.Methods Following the JBI evidence-based health care model,clinical practice guidelines and original researches of enteral support were extracted,analyzed and synthesized to be evidences,then levels of evidence and grades of recommendation were evaluated by using guideline developed by the Oxford Center for Evidence-Based Medicine.Finally,stakeholders were invited to evaluate feasibility of these evidences and revise the protocol.Results The protocol consisted of 6 domains and 18 recommending items：nutritional assessment,enteral feeding procedures,bowel function management,feeding tube care,prevention and nursing of complications,and health education,with 11 items being Grade A of recommendation and 7 items being Grade B of recommendation.Conclusion The protocol was developed based on current best evidence,clinical situation,patient preferences and professionals′expertise,which could provide reference for clinical nursing practice.
作者
张伟
朱宁宁
雷婷婷
徐鑫星
王珊
宋国磊
Zhang Wei;Zhu Ningning;Lei Tingting;Xu Xinxing;Wang Shan;Song Guolei(Nursing School of Bengbu Medical College,Bengbu 233030, Chin)
出处
《护理学杂志》
CSCD
北大核心
2018年第11期1-4,共4页
Journal of Nursing Science
基金
蚌埠医学院研究生科研创新计划资助项目(Byycx1715)
蚌埠医学院自然科学基金面上项目(BYKY1680)
关键词
胃癌
手术
肠内营养
喂养不足
预防护理方案
循证护理
gastric cancer
surgery
enteral support
underfeeding
prevention protocol
evidence-based nursing
