摘要
目的汇总国内外早产儿基于提示喂养管理的最佳证据,为制定科学合理的早产儿喂养方案提供参考。方法利用计算机系统检索UpToDate、BMJ Best Practice、医脉通、中国知网等中英文数据库或网站中关于早产儿基于提示喂养的证据,包括临床决策、指南、推荐实践、证据总结、系统评价和专家共识,检索时限为建库至2022年3月。由2名接受过系统循证知识培训的研究人员对文献质量进行独立评价并提取证据。结果共纳入10篇文献,包括临床决策2篇、指南5篇、系统评价3篇;最终从人员资质、培训、对象、评估、实施、效果评价6个方面汇总了32条证据。结论总结的早产儿基于提示喂养的最佳证据可为临床提供循证依据,促进早产儿由管饲喂养向经口喂养过渡,实现最佳证据向临床转化。用证人员应结合具体情境针对性地选择证据。
Objective To summarize the best evidence of cue-based feeding management for premature infants at home and abroad,in order to provide reference for formulating scientific and reasonable feeding plans for premature infants.Methods Using computer systems to retrieve evidence on cue-based feeding management in premature infants from Chinese and English databases or websites such as UpToDate,BMJ Best Practice,Yimaitong,and CNKI,including clinical decision-making,guidelines,recommended practices,evidence summaries,systematic reviews,and expert consensus.The retrieval period was from the inception of databases to March 2022.Two researchers who received systematic evidence-based knowledge training independently evaluated the quality of the literature and extracted evidence.Results A total of 10 articles were included,including two clinical decision-making articles,five guidelines,and three systematic reviews.Finally,32 pieces of evidence were summarized into 6 aspects:personnel qualifications,training,objects,assessment,implementation,and effectiveness evaluation.Conclusion The best evidence for cue-based feeding in premature infants summarized in this study can provide evidence-based evidence for clinical practice,promote the transition from tube feeding to oral feeding in premature infants,and achieve the conversion from the best evidence to clinical practice.Evidence should be selected according to the specific situation when personnels using these pieces of evidence.
作者
乐琼
陶晶
兰红
吴丽芬
Le Qiong;Tao Jing;Lan Hong;Wu Lifen(Department of Pediatrics,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)
出处
《护理学杂志》
CSCD
北大核心
2023年第14期21-26,共6页
Journal of Nursing Science
关键词
早产儿
提示喂养
管饲
经口喂养
非营养性吸吮
证据总结
循证护理
premature infants
cue-based feeding
tube feeding
oral feeding
non-nutritive sucking
evidence summary
evidence-based nursing
