Construction of early enteral nutrition standardized bundled nursing plan for critically ill patients
10.3760/cma.j.cn211501-20231213-01289
- VernacularTitle:重症患者早期肠内营养达标集束化护理方案的构建
- Author:
Zhen HAN
1
;
Shihan SHAN
;
Chulin CHEN
;
Xianghong YE
;
Zehua ZHAO
;
Jiaqi LI
;
Lina CAI
;
Hengyu ZHENG
Author Information
1. 南京大学医学院附属鼓楼医院甲状腺外科，南京 210008
- Keywords:
Intensive care;
Early enteral nutrition;
Bundle of care;
Rate of enteral nutrition not up to goal
- From:
Chinese Journal of Practical Nursing
2024;40(34):2665-2672
- CountryChina
- Language:Chinese
-
Abstract:
Objective:Care bundles for critically ill patients with early enteral nutrition up to goal was constructed. Its purpose was to improve early enteral nutrition, prognosis and provide reference basis for improving the rate of standard of early enteral nutrition in critically ill patients.Methods:By conducting systematic searching of domestic and foreign Chinese and English databases, related guide websites, relevant documents on early enteral nutrition in critically ill patients up to goal, which were obtained, evaluated, extracted, summarized and graded. After discussion by the research group, the first draft was prepared. Delphi method was used to conduct two rounds of expert correspondence, and the final draft of the proposal was established through the reliability analysis of correspondence results.Results:Twenty experts participated finally, and their opinions tended to be consistent after two rounds of expert inquiry. The authority coefficients were 0.92 and 0.91 respectively. The variation coefficients of the importance and operability of the two rounds of correspondence items were 0.05-0.20 and 0.05-0.21, 0.00-0.17 and 0.00-0.20 respectively. The Kendall concordance coefficients for the importance and operability of the two rounds of correspondence items were 0.16 and 0.13, 0.27 and 0.18 respectively. The differences were statistically significant ( χ2 values were 117.01-228.43, all P<0.05). Finally, the final draft of bundle of care for early enteral nutrition up to goal in critically ill patients was established which included three aspects related to evaluation, implementation, and effectiveness monitoring, besides care bundle included 12 intervention perspectives and 29 specific intervention measures. Conclusions:Based on evidence-based and delphi method constructing care bundles for critically ill patients with early enteral nutrition up to goal was scientific, reliable and practical which could provide theoretical and practical guidance for bundled nursing interventions to meet early enteral nutrition standards in critically ill patients.
