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护理学报 ›› 2021, Vol. 28 ›› Issue (17): 70-75.doi: 10.16460/j.issn1008-9969.2021.17.070

• 临床护理:外科护理 • 上一篇    下一篇

构建住院患者肠内营养相关便秘预警分级标准及干预方案

熊照玉1a, 李素云1b, 杨赛1c, 柯卉1d, 黄海燕1e, 周慧敏1a, 晏蓉1f, 刘云访1g, 刘天艺2   

  1. 1.华中科技大学同济医学院附属协和医院 a.乳甲外科;b.外科;c.胃肠外科;d.肝胆外科;e.重症医学科;f.骨科;g.胸外科,湖北 武汉 430022;
    2.华中科技大学同济医学院 护理学院,湖北 武汉 430022
  • 收稿日期:2021-05-18 发布日期:2021-10-12
  • 通讯作者: 李素云（1977-）,女,湖北武汉人,博士,主任护师,外科总护士长。E-mail：lisuyun0503@163.com
  • 作者简介:熊照玉（1992-）,女,湖北钟祥人,硕士,护师。
  • 基金资助:
    2017湖北省技术创新专项（软科学研究）（2017ADC077）

Construction of Evidence-based Early Warning Grading Standard and Interventions for Enteral Nutrition-related Constipation in Inpatients

XIONG Zhao-yu1a, LI Su-yun1b, YANG Sai1c, KE Hui1d, HUANG Hai-yan1e, ZHOU Hui-Min1a, YAN Rong1f, LIU Yun-Fang1g, LIU Tian-Yi2   

  1. 1a. Dept. of Breast and Thyroid Surgery; 1b. Dept. of Surgery; 1c. Dept. of Gastrointestinal Surgery; 1d. Dept. of Hepatobiliary Surgery; 1e. Dept. of Critical Care Medicine, 1f. Dept. of Orthopedics, 1g. Dept. of Thoracic Surgery, Union Hospital, Tongji Medical College of Huangzhong University of Science and Technology, Wuhan 430022, China;
    2. School of Nursing, Tongji Medical College of Huangzhong University of Science and Technology, Wuhan 430022, China
  • Received:2021-05-18 Published:2021-10-12

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摘要： 目的 构建肠内营养相关便秘预警分级标准及干预方案。方法 基于循证,结合临床实践,通过专家会议法初步设定咨询内容,运用德尔菲法进行2轮专家函询,确立了最终方案。结果 2轮函询中专家的积极系数均为100%,权威系数分别为0.866、0.902,肯德尔和谐系数为0.139、0.301。最终确立了肠内营养相关便秘预警分级标准及干预方案,包括5级便秘预警分级及17项干预措施。结论 构建的肠内营养相关便秘预警分级标准及干预方案具有一定的科学性和可靠性,为护理肠内营养患者提供了参考依据。

关键词: 肠内营养, 便秘, 预警, 分级标准, 干预, 循证护理, 德尔菲法

Abstract: Objective To construct early warning grading standard and interventions for enteral nutrition-related constipation in inpatients. Methods Based on evidence-based methodology and combined with clinical practice, the consultation content was preliminarily set by expert meeting, and the final scheme was established after two rounds of expert letter consultation by Delphi method. Results In the two rounds of correspondence consultation, the positive coefficient of experts was all 100%; the authority coefficients were 0.866 and 0.902 respectively, and the Kendall harmony coefficients were 0.139 and 0.301, respectively. Early warning grading standard and interventions for enteral nutrition-related constipation were constructed, including five-level constipation warning classifications and 17 interventions. Conclusion The early warning grading standard and interventions for enteral nutrition-related constipation constructed are scientific and reliable, providing reference for nursing enteral nutrition patients.

Key words: enteral nutrition, constipation, early warning, grading standard, intervention, evidence-based nursing, Delphi method

中图分类号: 

  • R473.57
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