先天性心脏病患儿围术期喂养不耐受管理的最佳证据总结  

Summary of the best evidence for the management of perioperative feeding intolerance in children with congenital heart disease

作　　者：岳明叶 王爽[1,2] 邓永鸿 胡玉婷 高兴莲 熊莉娟[1] YUE Mingye;WANG Shuang;DENG Yonghong;HU Yuting;GAO Xinglian;XIONG Lijuan(Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Hubei 430000 China;School of Nursing,Tongji Medical College,Huazhong University of Science and Technology)

机构地区：[1]华中科技大学同济医学院附属协和医院,湖北430000 [2]华中科技大学同济医学院护理学院

出　　处：《循证护理》2024年第21期3831-3837,共7页Chinese Evidence-Based Nursing

摘　　要：目的:检索、评价和总结先天性心脏病患儿围术期喂养不耐受管理的最佳证据。方法:系统检索国内外循证资源数据库、指南网及相关专业协会官网涉及先天性心脏病患儿围术期喂养不耐受风险因素、预防、评估、监测和干预等的相关文献,检索时限为建库至2023年10月25日。由2名参加过循证护理课程培训的人员进行文献筛选、质量评价、证据提取和整合。结果:共纳入16篇文献,包括4篇指南、6篇系统评价、3篇专家共识、1篇专家意见、1篇随机对照试验研究和1篇队列研究。最终提取喂养不耐受的风险因素、预防、监测与评估,喂养方案制定以及干预5个方面,共35条证据。结论:本研究为临床医护人员提供了先天性心脏病患儿围术期喂养不耐受管理的最佳证据,建议根据临床环境及患儿家长的意愿选择性应用最佳证据。Objective:To retrieve,evaluate,and summarize the best evidence for the management of perioperative feeding intolerance in children with congenital heart disease(CHD).Methods:Relevant literature on risk factors,prevention,assessment,monitoring,and intervention of perioperative feeding intolerance in CHD children was systematically retrieved from domestic and foreign evidence-based resource databases,guideline websites,and official websites of relevant professional associations from the establishment of the database to October 25,2023.Two personnel who had participated in the evidence-based nursing course training conducted the literature screening,quality evaluation,evidence extraction,and evidence integration.Results:A total of 16 articles were included,including 4 guidelines,6 systematic reviews,3 expert consensus,1 expert opinion,1 randomized controlled trial,and 1 cohort study.Finally,35 pieces of evidence were extracted from 5 aspects:risk factors,prevention,monitoring and evaluation,feeding plan formulation,and intervention for feeding intolerance.Conclusions:This study provides clinical medical staff with the best evidence for the management of perioperative feeding intolerance in CHD children.It is recommended that the best evidence should be applied selectively according to the clinical environment and the wishes of the children′s parents.

关 键 词：先天性心脏病 喂养不耐受 证据总结 循证护理 

分 类 号：R473.72[医药卫生—护理学]