对于患有神经性肠道功能障碍的患者,从完整的脊髓损伤引起的护理干预:一个范围审查
André Aparecido Ramos1,2,3,4,5,6,7,8, Thaís Martins Gomes De Oliveira1,2,3,4,5,6,7,8, Ana Lúcia Da Silva1,2,3,4,5,6,7,8
1André Aparecido Ramos, RN, Sarah Group of Rehabilitation Hospitals, Brasília, Brazil.
概括
这次审查确定了脊髓损伤 (SCI) 患者神经性肠道功能障碍的四个关键护理干预措施. 这些包括数字门刺激,手动便提取,腹部按摩和胃结肠反射刺激,以改善肠道管理.
科学领域:
- 护理 护理 护理
- 康复医学 康复医学 康复医学
- 神经科学是一个神经科学.
背景情况:
- 神经性肠道功能障碍 (NBD) 是完全脊髓损伤 (SCI) 后的一个常见并发症.
- 有效的肠道管理对于保持患者的尊严,生活质量和预防二次并发症至关重要.
研究的目的:
- 绘制关键概念和确定基本的护理干预NBD在患者完全SCI.
- 综合证据,在这个人群中对NBD进行保守的管理策略.
主要方法:
- 根据乔安娜·布里格斯研究所的建议,进行了范围审查.
- 搜索包括主要的电子数据库和灰色文献,以一个特定的研究问题为指导,对手工护理干预NBD在完整的SCI进行搜索.
- 研究选择涉及两个研究人员的独立审查,意见分歧由第三名审查员和专家共识解决.
主要成果:
- 选择了13项研究 (1998-2019),包括5项随机临床试验.
- 在完整的SCI中确定了四种NBD的主要保守干预措施:数字-门刺激,手动便提取,腹部按摩和胃结肠反射刺激.
- 这些干预措施可以由护士进行,并教给患者或护理人员.
结论:
- 已识别的干预措施,单独或组合,在完全SCI的患者中帮助肠道疏散.
- 个性化肠道管理计划对于定期疏散,节制,尊严和生活质量至关重要.
- 保守的干预措施应整合到SCI患者的NBD管理协议中.
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