鼻饲病人鼻黏膜压力性损伤预防及护理的最佳证据总结  

Summary of best evidence for prevention and care of nasal mucosal pressure injury in patients with nasal feeding

作　　者：孙蜓 徐瑶 李嘉琪 左俊焘 蔡丽娜 郑恒宇 叶向红 SUN Ting;XU Yao;LI Jia-qi;ZUO Jun-tao;CAI Li-na;ZHEN Heng-yu;YE Xiang-hong(Graduate School,Bengbu Medical University,Bengbu 233000,Anhui,China;Medical College of Nanjing University,Nanjing 210093,Jiangsu,China;Department of General Surgery,General Hospital of Eastern Theater Command,Nanjing 210002,Jiangsu,China)

机构地区：[1]蚌埠医科大学研究生院,安徽蚌埠233000 [2]南京大学医学院,江苏南京210093 [3]东部战区总医院全军普通外科研究所,江苏南京210002

出　　处：《肠外与肠内营养》2024年第6期370-375,共6页Parenteral & Enteral Nutrition

摘　　要：目的:检索、评价和汇总国内外关于因鼻饲管引起的鼻黏膜压力性损伤的最佳证据,为临床实践提供循证依据。方法:按照证据资源“6S”模型,系统检索UpToDate、国际指南协作网、JBI循证卫生保健中心图书馆、Web of Science、Cochrane Library、中国知网、万方等数据库及相关营养专业网站有关鼻黏膜压力性损伤的文献。检索时间为建库至2024年2月。文献筛选和质量评价由4名研究者独立完成,咨询循证专家意见后,对符合质量标准的文献进行证据提取、汇总。结果:共纳入12篇文献,包括5篇指南、4篇专家共识、1篇临床决策、1篇系统评价、1篇证据总结,涵盖组建团队、鼻黏膜评估、鼻黏膜护理、鼻饲管的放置与维护、监测和教育5个主题24条证据。结论:本研究总结的关于预防和护理因鼻饲管道引起的鼻黏膜压力性损伤的证据可应用于临床实践,促进鼻饲管道规范化管理,提高肠内营养实施效果。Objective:To search,evaluate and summarize the best evidence about nasal mucosa pressure injury caused by nasal feeding tube at home and abroad,and provide evidence-based basis for clinical practice.Methods:According to the"6S"model of evidence resources,literatures related to nasal mucosal stress injury were systematically searched from UpToDate,Guidelines International Network,Joanna Briggs Institute Evidence-based Healthcare Center,Web of Science,Cochrane Library,CNKI,Wanfang database and other related nutrition professional websites.The search period was from the establishment of the database to February 2024.Four researchers independently evaluated the literature quality,and after consulting the opinions of evidence-based experts,evidence was extracted and summarized for literatures that met the quality standards.Results:A total of 12 studies were included,including 5 guidelines,4 expert consensus,1 clinical decision,1 systematic review and 1 evidence summary,covering 24 pieces of evidence on 5 topics,including team building,nasal mucosa evaluation,nasal mucosa care,placement and maintenance of nasal feeding tube,monitoring and education.Conclusions:The evidence of prevention and nursing of nasal mucosal pressure injury caused by nasal feeding tube can be applied to clinical practice,promote the standardized management of nasal feeding tube and improve the implementation effect of enteral nutrition.

关 键 词：肠内营养 鼻饲 鼻黏膜 黏膜压力性损伤 

分 类 号：R459.3[医药卫生—治疗学]