开发一种基于德尔菲方法的超声导向肠道营养方案,用于重症患者
Zeyu Li1,2, Wei He3, Dun Tian4
1Xiangya School of Nursing, Central South University, Changsha, Hunan Province, China.
这项研究为重症患者开发了一项新的超声导入肠道营养 (EN) 计划. 综合性和可行的协议提高了重症监护病房的EN质量和安全性.
科学领域:
- 关键护理医学 关键护理医学
- 医学技术 医学技术 医学技术
- 临床营养学 临床营养学
背景情况:
- 肠道营养 (EN) 在重症监护室 (ICU) 中至关重要.
- 实施方面的挑战阻碍了在重症患者中提供最佳的EN.
- 需要一种标准化,基于证据的方法来改善EN实践.
研究的目的:
- 开发一个可操作和可重复的超声波导向肠道营养 (EN) 程序.
- 为危急病患者创建一个基于当前证据的协议.
- 提高ICU中EN管理的质量和安全.
主要方法:
- 综合性文献审查,包括指导方针,专家共识和系统审查.
- 制定初步的超声导向EN协议.
- 使用Delphi方法与专家反对协议的修订和最终确定.
主要成果:
- 达成专家共识与高级权威 (0.935) 和协议 (1.00).
- 证明了协议元素的高可行性和重要性 (变化系数为0.04-0.21).
- 最终计划包括4个I级,15个II级和40个III级项目的等级结构.
结论:
- 开发的超声导向EN协议是全面的,并且可用于临床应用.
- 这个来自Delphi的程序为重症监护护士提供了一个可靠的EN实施框架.
- 该协议为改善重症患者的EN质量和安全提供了坚实的基础.
更多相关视频
05:50Author Spotlight: Point-of-Care Ultrasound for Gastric Content Assessment and Risk Stratification in Perioperative Care
Published on: September 22, 2023
10:38Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
Published on: January 16, 2019
相关概念视频
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Enteral Nutrition I: Orogastric and Nasogastric Feeding
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
Endoscopic Procedures I: Esophagogastroduodenoscopy
During an EGD, the endoscope can be used to:
Ultrasound I: Abdominal Ultrasonography
Abdominal ultrasonography, commonly known as abdominal ultrasound, is a vital, non-invasive medical imaging technique widely used in healthcare.
Procedure:
This diagnostic tool allows the clinician to visually inspect internal structures within the abdomen, including vital organs such as the liver, gallbladder, pancreas, kidneys, and spleen.
The abdominal ultrasound process begins with applying a special gel to the patient's skin over the abdomen. This gel enhances the...
Endoscopic Procedures V: ERCP
Patient...
