重症急性胰腺炎行肠内营养病人动态腹内压监测预警分级标准及干预方案的构建

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作者简介 王蓉，副主任护师，本科

通讯作者 田雅丽，E⁃mail：892792340@qq.com

引用信息 王蓉，王海鸥，田雅丽，等.重症急性胰腺炎行肠内营养病人动态腹内压监测预警分级标准及干预方案的构建[J].护理研究，2024，38（14）：2501⁃2507.

Construction of early warning grading criteria and intervention plan for monitoring dynamic intra⁃abdominal pressure in patients with severe acute pancreatitis undergoing enteral nutrition

WANG Rong， WANG Haiou， TIAN Yali， ZHAO Shanshan， SONG Hongtao

Jiangsu Province Hospital（The First Affiliated Hospital with Nanjing Medical University），Jiangsu 210009 China

Corresponding Author  TIAN Yali， E⁃mail： 892792340@qq.com

Abstract  Objective：To construct early warning grading criteria and intervention plan for monitoring dynamic intra⁃abdominal pressure in patients with severe acute pancreatitis（SAP） undergoing enteral nutrition.Methods：Retrieve China and foreign literature，the draft of early warning grading criteria and intervention plan for monitoring dynamic intra⁃abdominal pressure in SAP patients undergoing enteral nutrition was drafted.2 rounds of inquiry with experts were conducted by Delphi expert inquiry method，and the early warning grading criteria and intervention plan for monitoring dynamic intra⁃abdominal pressure in SAP patients undergoing enteral nutrition were formed.Results：The questionnaire response rates of 2 rounds of expert consultation both were 100%，the authority coefficient was 0.918，the coefficient of variation ranged from 0.077 to 0.156 and ranged from 0.056 to 0.167，respectively.The Kendall coordination coefficients were 0.353 and 0.331（P<0.001），respectively.The final constructed early warning grading criteria and intervention plan for monitoring dynamic intra⁃abdominal pressure in SAP patients undergoing enteral nutrition included 3 first⁃level indicators，13 second⁃level indicators，and 26 third⁃level indicators.Conclusions：The early warning grading criteria and intervention plan for monitoring dynamic intra⁃abdominal pressure in SAP patients undergoing enteral nutrition constructed in this study have certain scientific and practical significance，which is beneficial for guiding clinical practice.

Keywords    critically ill patients；severe acute pancreatitis；enteral nutrition；intra⁃abdominal pressure；early warning；plan construction；  Delphi method； nursing

摘要  目的：构建重症急性胰腺炎（SAP）行肠内营养病人动态腹内压监测预警分级标准及干预方案。（剩余13133字）