预防ICU患者肠道营养不耐受性的非药物干预措施的有效性:一个网络的元分析
Ni Yang1, Yuan Xu2, Xinyi Zhou1
1Department of Nursing, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
针和腹部按摩是有效的非药物干预措施,用于预防重症监护病人的肠道营养不耐受. 针被确定为最佳干预,腹部按摩作为推的替代方案.
科学领域:
- 关键护理医学 关键护理医学
- 胃肠病学 胃肠病学
- 基于证据的实践.
背景情况:
- 肠道营养 (EN) 改善了重症监护室 (ICU) 患者的治疗结果.
- 肠道营养不耐受是接受EN治疗的ICU患者的常见并发症.
研究的目的:
- 评估用于预防ICU患者肠道营养不耐受性的非药物干预措施.
- 为此目的确定最有效的非药物干预措施.
主要方法:
- 在七个数据库中对相关的随机对照试验进行了系统的文献搜索.
- 网络元分析使用Stata 18.0来比较10种不同的非药物干预措施.
- 数据使用几率比率 (OR) 和95%置信区间 (95%CI) 进行分析.
主要成果:
- 包括16项随机对照试验,涉及1765名ICU患者.
- 针 (OR=2.69) 和腹部按摩 (OR=2.42) 在预防肠道营养不耐受方面表现出显著的有效性.
- 针作为最佳干预措施排名最高 (89.4%),其次是腹部按摩 (83.4%).
结论:
- 针和腹部按摩是预防ICU环境中的肠道营养不耐受症的建议干预措施.
- 需要进一步进行高质量的试验,以巩固各种非药理学方法的证据水平.
- 密集护理护士可以利用针作为主要干预,腹部按摩作为可行的替代方案.
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