Evidence summary of enteral and parenteral nutrition support in adult patients with severe burns
10.3761/j.issn.0254-1769.2024.09.012
- VernacularTitle:成人重度烧伤患者肠内肠外营养的证据总结
- Author:
Yusheng XIE
1
;
Rongrong HUANG
;
Xue ZHAO
;
Lei MA
;
Yan HU
;
Qian YANG
;
Qiansha WANG
;
Yue MING
Author Information
1. 550025 贵阳市,贵州医科大学护理学院
- Keywords:
Burns;
Nutritional Support;
Enteral Nutrition;
Parenteral Nutrition;
Evidence-Based Nursing
- From:
Chinese Journal of Nursing
2024;59(9):1106-1113
- CountryChina
- Language:Chinese
-
Abstract:
Objective To systematically retrieve and integrate the best evidence of enteral and parenteral nutrition support in adult patients with severe bums.Methods 2 nursing master students who had studied evidence-based nursing systematically searched the clinical decisions,recommended practices,guidelines,expert consensuses,systematic reviews,evidence summaries and other evidences on enteral and parenteral nutrition support for adult patients with severe bums in domestic and foreign guideline networks,relevant institutional websites and databases.The retrieval time was from the establishment of the databases to April 2023.2 researchers who had obtained master's degrees and undergone systematic evidence-based training in Fudan University used the appraisal of guidelines for research and evaluation n and JBI critical appraisal tools to evaluate the methodological quality,and extracted and summarized the evidence according to the theme.Results A total of 28 articles were included,including l clinical decision,9 guidelines,3 expert consensuses,9 systematic reviews,and 6 evidence summaries.A total of 20 pieces of evidence were summarized from 6 aspects:nutritional risk screening and assessment,energy requirement calculation,timing and route of nutritional support,nutrient intake,nutritional support monitoring and effect evaluation.Conclusion The best evidence of enteral and parenteral nutrition support for adult patients with severe burns summarized in this study is more comprehensive and scientific.It is suggested that in clinical application,targeted screening should be carried out according to the promotion and hindering factors of evidence,so as to scientifically carry out nutritional support for adult patients with severe burns.