Expert consensus on nasogastric tube and intestinal tube placement in children
10.3761/j.issn.0254-1769.2025.14.006
- VernacularTitle:儿童胃管及肠管置管专家共识
- Author:
Yu ZOU
;
Ying GU
;
Zhuowen YU
;
Yan HUANG
;
Yuxia YANG
;
Suyun LI
;
Yingwen WANG
- Collective Name:Critical Care Group,Pediatric Nursing Alliance,National Children's Medical Center;Gastroenterology Group,Pediatric Nursing Alliance,National Children's Medical Center
- Publication Type:Journal Article
- Keywords:
Nasogastric Tube;
Intestinal Tube;
Tube Insertion;
Children;
Nursing Procedure;
Expert Consensus;
Pediatric Nursing
- From:
Chinese Journal of Nursing
2025;60(14):1700-1704
- CountryChina
- Language:Chinese
-
Abstract:
Objective To form an expert consensus on nasogastric tube and intestinal tube placement in children(hereinafter referred to as the"consensus"),and provide a reference for pediatric medical workers regarding the operation of gastrointestinal tube placement in children.Methods A"consensus"formulation group was established.The"5.0"EBHC Pyramid Model was employed to systematically search,evaluate,summarize and extract relevant evidence to form the initial draft of the"consensus".The RAND-UCLA expert consensus method was utilized.Through a round of expert inquiries by correspondence and a round of face-to-face expert discussions,the data were collated,analyzed,refined,and modified to form the final version of the"consensus".Results The effective recovery rate of the expert inquiry questionnaire was 100％.The coefficient of expert authority(Cr)was 0.891.The Kendall's concordance coefficient of the inquiries was 0.692(P＜0.01),which was statistically significant.The median of the"RAND-UCLA"suitability score were 7-9 points,and the disagreement index(DI)value was＜1.00.The final"consensus"encompasses 9 aspects,including qualification requirements for the tube placement personnel,indications and contraindications,preoperative assessment,preoperative preparation,measurement of tube length,key points of tube placement,methods for confirming the position,tube flushing,fixation,and recording,with 47 recommendations.Conclusion This"consensus"is scientific,rigorous,and practical,covering all links of the gastrointestinal tube placement process in children,providing reference and guidance for the safe and standardized implementation of gastrointestinal tube placement in children.
