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直肠癌术后早期肠内营养患者误吸预防的循证护理
引用本文:胡艳杰,李卡,蒋理立,冯金华,黄明君.直肠癌术后早期肠内营养患者误吸预防的循证护理[J].护理管理杂志,2014,14(4):275-277.
作者姓名:胡艳杰  李卡  蒋理立  冯金华  黄明君
作者单位:胡艳杰 (四川大学华西护理学院,成都市,610041); 李卡 (四川大学华西医院护理部,成都市,610041); 蒋理立 (四川大学华西医院胃肠外科中心,成都市,610041); 冯金华 (四川大学华西护理学院,成都市,610041); 黄明君 (四川大学华西医院胃肠外科中心,成都市,610041);
基金项目:四川省科技厅科技支撑计划项目(项目编号:2013SZ0026)
摘    要:目的通过查找筛选高质量临床文献证据,为直肠癌术后患者早期肠内营养误吸合理治疗和预防方案的制订提供依据;并把证据应用于临床,指导临床护理实践,促进护理质量提升。方法由专业人员进行检索,检索词为肠内营养、误吸、tube feeding、aspiration等,数据库为Cochrane图书馆中Cochrane Database of Systematic Reviews、Cochrane Central Register of Controlled Trials、Database of Abstracts of Review s of Effects及MEDLINE、中国知网原始文献数据库。检索范围:肠内营养误吸的预防和治疗相关的系统评价、Meta分析、随机对照试验等。结果共检索出相关文献22篇,其中符合条件者13篇。结论在科学方法的指导下寻找证据指导临床营养护理,可以有效预防误吸,提高患者生存质量。

关 键 词:早期肠内营养  误吸  循证护理  直肠癌  术后

Evidence- based nursing on prevention and treatment of early enteral nutrition aspiration in a patient after colorectal cancer surgery
Institution:HU Yan- jie, LI Ka, JIANG Li - li, FENG Jin - hua, HUANG Ming - jun(1. School of Nursing, West China School of Medicine, Sichuan University, Chengdu 610041, China ;2. Nursing Department, West China Hospital, Sichuan University, Chengdu 610041, China; 3. Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu 610041, China)
Abstract:Objective Searching and screening high quality literatures to establish prevention and treatment plan of early enteral nutrition in patients after coloreetal cancer surgery,which could be put into clinical practice and accelerated nursing service quality. Method A medical search worker was asked to search systematic reviews, meta - analysis and randomized controlled trial papers about prevention and treatment plan of early enteral nutrition in Coehrane Data- base of Systematic Reviews, Cochrane Central Register of Controlled Trials, Database of Abstracts of Review s of Effects, MEDLINE and CNKI. Result Twenty - two papers were retrieved, 13 were included. Conclusion Exploring evidences under the guidance of scientific method and applying them to clinical nursing can prevent aspiration and improve life quality of patients.
Keywords:early enteral nutrition  aspiration  evidence - based nursing  rectal cancer  postoperative
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