在重症患者中治疗静脉注射后缺食症的干预措施:系统性审查和元分析
Lan Chen1, Chang Liu1, Mengmei Yuan2
1Nursing Department, The Second Affiliated Hospital of Zhejiang University School of Medicine, 88 Jiefang Road, Shangcheng District, Hangzhou, Zhejiang Province, 310009, China.
Dysphagia
|April 1, 2024
概括
缺食症干预措施在改善吞功能和降低长期机械通风的重症患者的肺炎风险方面表现有前途. 需要更多高质量的研究来证实这些好处.
科学领域:
- 关键护理医学 关键护理医学
- 康复疗法 康复疗法
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 在重症监护病房长期内管道输入 (>=48小时) 经常导致食.
- 这种人群的消化不良会导致营养不良,吸血和长时间住院.
研究的目的:
- 对长期内内输管治疗的重症患者的消化不良干预措施的有效性和安全性进行系统审查.
- 评估干预措施对缺食症严重程度,口服恢复和相关并发症的影响.
主要方法:
- 在多个数据库中进行系统的文献搜索,截至2023年12月31日.
- 包括RCT,准RCT和队列研究,比较失调康复与标准护理.
- 主要结局包括消化不良的严重程度,口服时间,以及吸入性肺炎的发生率.
主要成果:
- 分析了10项涉及1031名参与者的研究.
- 吞疗法显著降低了吞障碍的严重程度,口服时间和吸入性肺炎风险,改善了生活质量.
- 没有观察到营养状况的显著差异;关于吸收风险和不良事件的数据有限.
结论:
- 目前对长期直管患者的消化不良干预的证据有限.
- 迫切需要具有标准化结果的高质量的RCT来验证这些发现.
- 进一步的研究至关重要,以建立最佳的康复策略,为这个脆弱的患者群体.
相关概念视频
Endotracheal Intubation II: Nursing Management
612
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
612
Endotracheal Tube Extubation
641
Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
641
Endotracheal Intubation I: Procedure
1.2K
Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
1.2K
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
127
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
127
Enteral Nutrition I: Orogastric and Nasogastric Feeding
272
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
272
Peptic Ulcer Disease V: Surgical Management and Nursing Care
302
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
302


