Expert consensus on enteral nutrition care for adult patients with severe burns (2024 edition)
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摘要: 肠内营养是严重烧伤患者营养治疗的主要方式之一。为推动临床护士规范、安全、有效地实施肠内营养护理,该共识编写组以循证医学证据为基础,德尔菲法为指导,围绕成年严重烧伤患者肠内营养的适应证与启动时机、医院感染控制、营养风险筛查、吞咽功能评估、胃肠道功能评估、能量评估、喂养途径、输注管理、血糖管理、营养状况监测、营养过渡等11个主题进行文献检索、质量评价、证据综合、专家函询,制订了《成年严重烧伤患者肠内营养护理专家共识(2024版)》,为护士临床实践提供参考。Abstract: Enteral nutrition is one of the main nutritional treatments for patients with severe burns. In order to promote standardized, safe, and effective implementation of enteral nutrition care by clinical nurses, the consensus writing group conducted literature retrieval, quality evaluation, evidence synthesis, and expert consultation based on evidence of evidence-based medicine and guided by Delphi method on 11 topics including indications and initiation timing of enteral nutrition, hospital infection control, nutritional risk screening, swallowing function assessment, gastrointestinal function assessment, energy assessment, feeding route, infusion management, blood glucose management, nutritional status monitoring, and nutritional transition in adult patients with severe burns, and developed Expert consensus on enteral nutrition care for adult patients with severe burns (2024 edition) to provide a reference for nurses' clinical practice.
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Key words:
- Burns /
- Enteral nutrition /
- Nursing care /
- Expert consensus
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参考文献
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Table 1. 澳大利亚Joanna Briggs Institute循证卫生保健中心证据级别系统(2014版)
证据分级 具体描述 1a 多项RCT的系统评价 1b 多项RCT及其他干预性研究的系统评价 1c 单项RCT 1d 准RCT 2a 多项类实验性研究的系统评价 2b 多项类实验性研究与其他低质量干预性研究的系统评价 2c 单项前瞻性有对照组的类实验性研究 2d 前后对照/回顾性对照的类实验性研究 3a 多项队列研究的系统评价 3b 多项队列研究与其他低质量观察性研究的系统评价 3c 单项有对照组的队列研究 3d 单项病例对照研究 3e 单项无对照组的观察性研究 4a 多项描述性研究的系统评价 4b 单项横断面研究 4c 病例系列研究 4d 个案研究 5a 对专家意见的系统评价 5b 专家共识 5c 基础研究/单项专家意见 注:RCT为随机对照试验 Table 2. 澳大利亚Joanna Briggs Institute循证卫生保健中心证据推荐强度系统(2014版)
推荐强度 判断标准 强 明确显示干预措施利大于弊或弊大于利;高质量证据支持应用;对资源分配有利或无影响;考虑了患者的价值观、意愿和体验 弱 干预措施利大于弊或弊大于利,尽管证据尚不够明确;有证据支持应用,尽管证据质量不够高;对资源分配有利或无影响或有较小影响;部分考虑或并未考虑患者的价值观、意愿和体验 -
成人严重烧伤患者肠内营养护理专家共识计划书.docx