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Journal of Nursing ›› 2020, Vol. 27 ›› Issue (24): 24-30.doi: 10.16460/j.issn1008-9969.2020.24.024

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Best Evidence Summary for Early Oral Feeding in Patients with Mild to Moderate Severe Acute Pancreatitis

CAO Chun-ju1a, ZHANG Lan-fang2, WANG Cai-fang1b, LUO Dan-hua1b, XU Xiu-ping1a, ZHUANG Cong-qiong1a, HUANG Mei-ying1a, HUANG Wei-ling1a, LI Wen-ying1a   

  1. 1a. Dept. of General Surgery; 1b. Dept. of Nursing Administration, Qingyuan People’s Hospital, the Sixth Affiliated Hospital of Guangzhou Medical University, Qingyuan 511518, China;
    2. Nanfang Hospital, Southern Medical University, Guangzhou 510400, China
  • Received:2019-12-03 Online:2020-12-25 Published:2021-01-15

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Abstract: Objective To summarize the best evidence of early oral feeding in patients with acute pancreatitis and evaluate its effect. Methods Through systematic retrieval and quality evaluation of the literature regarding early oral feeding of patients with acute pancreatitis, 10 guidelines, 4 expert consensus,11 articles of systematic evaluation and review, and 3 articles of RCT were included and 9 pieces of best evidence were summarized. Combined with clinical situation and professional judgment, 5 evidence-based quality review standards were formulated and quality review was carried out in general surgical wards. Results Before and after the application of the evidence, the awareness rate of the best evidence was improved. The incidence of nausea, vomiting, abdominal pain and abdominal distension complications and the changes of serum amylase and lipase were not statistically significant (P>0.05) but the time of eating was earlier, and the length of hospital stay was shorter (P<0.001). Conclusion The best evidence application of early oral feeding in patients with acute pancreatitis based on evidence can effectively improve the compliance of medical staff to use evidence and promote the recovery of patients.

Key words: acute pancreatitis, early feeding, eating orally, evidence-based practice

CLC Number: 

  • R473.57
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