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Journal of Nursing ›› 2021, Vol. 28 ›› Issue (23): 1-5.doi: 10.16460/j.issn1008-9969.2021.23.001

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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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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

CLC Number: 

  • R473.6
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