脑卒中患者肠道营养食不耐受症的危险因素:范围审查
Owusu Mensah Solomon1, Yujia Gu1, Yehong Wei2
1College of Nursing, Zhejiang Chinese Medical University, Hangzhou, China.
Nursing in critical care
|October 21, 2024
概括
在接受肠道营养的中风患者中,食不耐受是常见的. 这次审查确定了22个影响不耐受性的因素,这对于改善患者康复和康复结果至关重要.
科学领域:
- 临床营养学 临床营养学
- 神经学 神经学
- 康复医学 康复医学 康复医学
背景情况:
- 食不耐受是接受肠道营养的中风患者的重要并发症.
- 这种不耐受性会对患者的康复和康复进展产生负面影响.
- 识别导致食不耐受性的因素对于优化护理至关重要.
研究的目的:
- 系统地审查和绘制有关中风患者肠道营养的现有文献.
- 确定关键主题,研究差距和未来的研究方向,涉及这个人群中的食不耐受性.
主要方法:
- 根据PRISMA-ScR检查清单进行了全面的范围审查.
- 在主要数据库 (PubMed,CINAHL,Scopus,Web of Science,CNKI,WangFang) 进行文献搜索,从2000年1月到2024年1月.
- 包括25篇文章,重点关注中风患者的肠道营养养问题,分析患者的特征,病情,疗法,养方案和护理.
主要成果:
- 确定和分类了22个影响肠道营养食不耐受性的因素.
- 这些因素包括患者 (5),疾病 (8),治疗 (2),养管理 (5),护理 (2) 等类别.
- 通常报告的因素包括年龄,腹内压力,血清白蛋白,APACHE-II分数和中央静脉压力 (CVP).
结论:
- 本范围审查提供了对影响肠道营养的因素的专注概述,特别是对中风患者的食不耐受.
- 医疗保健专业人员必须主动识别和管理这些风险因素,以提高患者的护理.
- 建议对肠道养在中风康复中的作用进行专业培训,以改善患者的治疗结果.
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