Summary of the best evidence for oral and nasal care of adult inpatients during nasal tube feeding
10.3760/cma.j.cn115682-20210822-03755
- VernacularTitle:成人住院患者经鼻行管饲喂养中口鼻腔护理的最佳证据总结
- Author:
Rui ZHANG
1
;
Xianghong YE
;
Huijun WANG
;
Lulu GU
;
Cuili WU
Author Information
1. 南京大学医学院，南京 210093
- Keywords:
Adult;
Nasogastric bowel;
Enteral nutrition;
Oral care;
Nasal care;
Pipeline nursing
- From:
Chinese Journal of Modern Nursing
2022;28(13):1687-1692
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarizes the evidence of oral and nasal care for adult inpatients during nasal tube feeding and provide reference for clinical implementation.Methods:The relevant evidence on oral and nasal care of adult patients with nasal feeding were systematically searched on UpToDate, Joanna Briggs Institute (JBI) Evidence-based Healthcare Center, National Guideline Clearinghouse, National Institute for Health and Clinical Excellence, Medlive.cn, Cochrane Library, PubMed, Embase, Web of Science, China National Knowledge Infrastructure, Wanfang database and other databases and guideline websites. The retrieval period was from January 1, 2016 to August 28, 2020. After the methodological quality evaluation of the included clinical practice guidelines, expert consensus, systematic evaluation, clinical decision-making and evidence summary, the literature that met the standards was extracted and the evidence was summarized according to the professional clinical judgment of the researchers.Results:A total of 13 literatures were included, including 1 guideline, 2 expert consensus, 3 systematic evaluation, 2 clinical decision making and 5 evidence summaries. After sorting out, 16 best evidences were summarized from 4 aspects such as professional training of nursing staff, factors affecting oral and nasal hygiene, assessment and nursing of nasal, assessment and nursing of oral.Conclusions:Through the standardized evidence collection and formulation method, this paper summarizes the relevant evidence of oral and nasal nursing for patients with enteral nutrition through nasal tube feeding from 4 aspects. Medical staff should strengthen the training of professionals, find out the factors affecting the oral and nasal health of adult inpatients undergoing nasal tube feeding as soon as possible and take effective measures to evaluate and care the patients' oral and nasal cavity according to the best evidence.
