ISSN 1672-9234 CN 11-5289/R
主管:中国科学技术协会 主办:中华护理学会
出版:中华护理杂志社
收录:中国科学引文数据库(CSCD)来源期刊
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中华护理教育

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测试-ICU患者肠内营养执行流程循证实践方案的构建

昝涛 丛悦 唐晶 关宝兴 高妍 李雪   

Construction of evidence-based practice program of enteral feeding implementati

ZAN Tao袁CONG Yue袁TANG Jing袁GUAN Baoxing袁GAO Yan袁LI Xue   

摘要: 目的 构建基于指南的ICU患者肠内营养执行流程的循证实践方案袁以保证指南在临床的有效实施袁促进
ICU患者肠内营养护理执行流程的科学化及规范化遥 方法 依据Johns Hopkins循证护理实施与转化模式袁通过基线
调查确立临床问题袁成立循证实践小组袁检索尧筛选并评价指南袁拟定审查标准尧审查方法袁完成基线审查后根据审查
结果分析指南实施的障碍因素袁拟定相应的行动策略并将策略具体化袁最终拟定符合临床情境的循证实践方案遥
结果 共纳入5篇指南袁构建的方案内容涉及ICU患者肠内营养的风险评估尧营养状态评估等方面遥 结论 构建基于
指南的循证实践方案袁可为临床ICU患者规范化肠内营养流程提供参考遥

Abstract: Objectives To construct evidence鄄based practice program of enteral feeding implementation process
for critically ill patients based on guidelines in order to ensure the effective implementation of the guidelines in
clinical practice袁promote the scientific and standardized implementation process of enteral feeding and nursing for
critically ill patients. Methods In this study袁we used the Johns Hopkins evidence鄄based nursing implementation
and transformation model as a guide.Baseline survey was performed to establish clinical issues and an evidence鄄
based practice team was built to retrieve袁screen袁appraise guidelines and review criteria and methods. Obstacles to
implementation of guidelines were analyzed based on review results after baseline review and the corresponding ac鄄
tion strategy was formulated and made concretely. Eventually the evidence鄄based practice strategy was developed
and fit for clinical situations. Results This study included 5 guidelines袁and the program contents included evalua鄄
tion of the risk of enteral feeding and nutritional status in critically illpatients袁etc. Conclusion Constructing an
evidence鄄based practice program based on guidelines can provide reference for standardizing the enteral feeding
process of critically ill patients. It is the pre