经胃肠营养管给药护理的最佳证据总结  

Evidence summary:nursing administration of medication via enteral feeding tubes

作　　者：杜玫洁 王颖[1] 张昕悦 崔梦影 蔡悦 黄子菁 Du Meijie;Wang Ying;Zhang Xinyue;Cui Mengying;Cai Yue;Huang Zijing(Department of Nursing,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院护理部,湖北武汉430030 [2]华中科技大学同济医学院护理学院

出　　处：《护理学杂志》2024年第17期61-66,共6页Journal of Nursing Science

基　　金：华中科技大学同济医学院附属同济医院科研基金护理专项重点项目(2022C08)。

摘　　要：目的检索国内外经胃肠营养管给药护理的相关证据,并对最佳证据进行汇总、分析,为临床经胃肠营养管规范给药实践提供依据。方法系统检索国内外网站及数据库中关于经胃肠营养管给药护理的证据,检索时限为建库至2023年8月14日。由2名研究人员独立进行文献质量评价,由3名护理研究生对纳入文献进行内容提取。结果最终纳入文献14篇,其中指南6篇、证据总结2篇、专家共识3篇、类实验研究3篇,总结出26条最佳证据,共10个主题,为系统优化、给药前评估、用物准备、药物预处理、给药规范操作、冲管方案、堵管预防和处理、反流和误吸的预防、文书记录和效果监测、出院计划制订。结论护理管理者和临床护士可结合具体临床情境和患者意愿,开展最佳证据应用,以提高经胃肠营养管给药规范性,保障患者用药安全。Objective To retrieve relevant evidence on nursing administration of medication via enteral feeding tubes,to summarize and analyze the best evidence,and to provide reference for nursing practice.Methods We searched websites and electronic databases for literature relating to nursing administration of medication via enteral feeding tubes from database inception to 14 August 2023.Two researchers independently assessed eligibility for inclusion and methodological quality of the literature,and three graduate nursing students extracted information from each paper.Results A total of 14 articles met the inclusion criteria,including 6 guidelines,2 evidence summaries,3 expert consensus reports,and 3 quasi-experimental studies.A total of 26 pieces of best evidence were summarized,covering 10 aspects:system optimization,pre-administration assessment,preparing the supplies,preparing medication,administrating the medication,flushing the tube,preventing and managing tube occlusion,preventing reflux and aspiration,documentation and effect monitoring,and planning discharge from hospital.Conclusion The summarized evidence can be translated into clinical practice by considering specific clinical situations and patients′preferences,so as to standardize administration of medication via enteral feeding tubes and ensure medication safety.

关 键 词：肠内营养 胃肠营养管 给药护理 用药安全 堵管 反流 误吸 证据总结 

分 类 号：R472[医药卫生—护理学]