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护理学报 ›› 2021, Vol. 28 ›› Issue (23): 1-5.doi: 10.16460/j.issn1008-9969.2021.23.001

• 研究生园地 •    下一篇

腹部创伤患者肠内营养喂养不耐受预警评估指标体系的构建

张锐1,2, 叶向红1,2, 赵泽华2, 韩珍1,2, 谢文慧3, 吴翠丽2   

  1. 1.南京大学医学院,江苏 南京 210093;
    2.南京大学医学院附属金陵医院（东部战区总医院）,江苏 南京 210002;
    3.蚌埠医学院研究生院,安徽 蚌埠 233000
  • 收稿日期:2021-08-26 出版日期:2021-12-10 发布日期:2022-01-11
  • 通讯作者: 叶向红（1965-）,女,江苏南京人,主任护师,本科学历,硕士研究生导师。E-mail：icuyz@126.com
  • 作者简介:张锐（1997-）,女,河南信阳人,本科学历,硕士研究生在读。
  • 基金资助:
    军事医学创新工程项目（18CXZ040）

Construction of Early Warning and Assessment Index System of Enteral Nutrition Intolerance for Patients with Abdominal Trauma

Zhang Rui1,2, Ye Xiang-hong1,2, Zhao Ze-hua2, Han Zhen1,2, Xie Wen-hui3, Wu Cui-li2   

  1. 1. Medical College of Nanjing University, Nanjing 210093, China;
    2. Affiliated Jinling Hospital, Medical School of Nanjing University（General Hospital of Eastern Theater Command）, Nanjing 210002, China;
    3. Graduate School, Bengbu Medical College,Bengbu 233000, China
  • Received:2021-08-26 Online:2021-12-10 Published:2022-01-11

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摘要： 目的 构建腹部创伤患者喂养不耐受预警评估指标体系,为早期识别腹部创伤患者喂养不耐受风险提供参考。方法 基于循证,结合临床护理实践,采用德尔菲专家咨询法对16名专家进行2轮专家咨询,并对调查数据进行统计分析,最终确定方案。结果 专家的积极性分别为94%、100%;专家权威系数为0.906;2轮重要性及准确性的变异系数分别为0~0.265、0~0.255及0.084~0.250、0.068~0.178,肯德尔协调系数差异有统计学意义。最终形成患者基本状况、实验室指标、临床治疗措施、临床用药以及肠内营养相关因素5个维度,32个条目。结论 构建的腹部创伤患者喂养不耐受评估预警指标内容较为全面,具有科学性,临床实用性强,可为临床早期识别腹部创伤患者喂养不耐受风险提供参考。

关键词: 腹部创伤, 喂养不耐受, 危险因素, 预警, 德尔菲法

Abstract: Objective To construct an early warning and assessment index system of feeding intolerance in patients with abdominal trauma, and to provide reference for early identification of feeding intolerance in patients with abdominal trauma. Methods In this evidence-based study, Delphi method was adopted in 16 experts for two rounds of consultation. The initial index system was constructed after data analysis. Results The positive coefficient of experts was 94% and 100% respectively; the authority coefficient 0.906, and the coefficients of variation of importance and accuracy of the second round were 0~0.265, 0~0.255 and 0.084~0.250,0.068~0.178 respectively. There were significant differences in Kendall’s concordance coefficient. The final system consisted of 32 items in 5 domain including general information of the patients, laboratory indicators, clinical treatment measures, clinical medication and factors related to enteral nutrition. Conclusion Being scientific, practical and comprehensive, the constructed early warning and assessment index system in the study provides reference for early clinical identification of the risk of feeding intolerance in patients with abdominal trauma.

Key words: abdominal trauma, feeding intolerance, risk factor, warning, Delphi method

中图分类号: 

  • R473.6
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