Summary of nursing practice of adult critically ill patients with naso-intestinal tube feeding
10.3760/cma.j.cn115682-20201020-05831
- VernacularTitle:成人重症患者经鼻肠管喂养的护理实践总结
- Author:
Fang LIU
1
;
Lichao GONG
;
Jingxu WEI
;
Meng YU
;
Rui SUN
;
Jie ZHAO
;
Xiaoying WANG
Author Information
1. 首都医科大学宣武医院神经内科ICU，北京 100053
- Keywords:
Enteral nutrition;
Naso-intestinal tube;
Post-pyloric feeding;
Practice summary
- From:
Chinese Journal of Modern Nursing
2021;27(15):1973-1979
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrieve, evaluate and summarize the clinical practice evidence of nursing care for critically ill patients with naso-intestinal tube feeding, so as provide a basis for correcting feeding intolerance and nutritional substandard.Methods:According to the "6S" evidence model, evidence on nursing care for critically ill patients with naso-intestinal tube feeding was retrieved in Registered Nurses' Association of Ontario, Cochrane Library, National Institute for Health and Clinical Excellence, Scottish Intercollegiate Guidelines Network, Guidelines International Network, Medive, PubMed, CINAHL, Embase, UpToDate, Joanna Briggs Institute Evidence-based Practice Database, China National Knowledge Infrastructure (CNKI) , WanFang Data, VIP database from January 31, 2015 to September 30, 2019. Evidence included guidelines, expert consensus, best practices, systematic reviews, evidence summary, and original research. Two researchers evaluated the quality of the included literature, extracted and summarized literature that met the quality standards.Results:A total of 24 articles were included, of which 2 guidelines were derived from the American Society of Critical Care Medicine and the American Society of Parenteral Enteral Nutrition, and the European Society of Parenteral Enteral Nutrition, 3 expert consensus, 1 systematic review, 4 evidence summaries, 10 randomized controlled studies, 3 quasi experiments, and 1 diagnostic test. This study summarized 24 evidences of clinical suitability, involving 10 aspects, namely, naso-intestinal tube placement indications, catheter material, placement position, placement method, confirmation method, feeding method, fixation, intolerance, catheter blockage and indwelling time limit.Conclusions:This study provides a management process and evidence-based evidence for critically ill patients with naso-intestinal tube feeding, which is conducive to promoting safe practice and in-depth research for the nursing staff.
