早产儿胃残留评估与处理审查指标的制订及影响因素分析

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Development of review indicators and analysis of influencing factors for the assessment and management

ofgastricresidualsinpreterm infants

HUANG Zhouxuan'，SHEN Feil*，RONG Hui'，LI Fang'，GU Ying²

1.Children'sHospital of Nanjing Medical University，Jiangsu 21oo08 China；2.Children'sHospitalof Fudan

University

*Corresponding Author SHEN Fei， E-mail： 514940526@ qq.com

AbstractObjective：Tocomprehensivelyevaluatethecuentaplicationofestevidencefortheasessmentandmanagementofgastric residualsinpreterifants，toevelopeviewindcatorsandtoanalyeobstaclefactorsandpromotingfactorsofevidencealicatio. Methods：GudedythevideceasedliaaplcatiomodelfromtheJaaBrigsstitute（JB）EvidenceBasedHealthcaeCter AustraliatheestevidenefoteassessmentandanagementofgastricsiualsinpreteinantsasincoporatedReviidicato weredevelopedObstacleandpromotigfactorsofevideneaplationwereaalyedAndcorrespodingctionstrategieserfolated Results：Atotalof13piecesofevidencewereinclued.And24reviewindicatorswereidentified.Priortoevdenceimplementatiotere were16indicatorsforhichnurses'evidencebasedknowledgeawarenesrateof theassessmentandmanagementofgastricesiduals were <80% .Andtherewere1Oindicators forwhichcompliance with evidence-based practicesoftheassessmentand managementofgastric residuals inpreterm infantswere <100% .The main obstacle factores of evidence application included some evidences were unclear or not intuitive.thenursing teamgenerallhadweak evidence-basedknowledgeandlackedconfidenceintheimplementedevidence.Andthe formershiftsystemintedeparmentresultedinaueendistrbutiooftaffetweendaandnighthiftsandsoonKeypromotingfacto includeddepartaagsosdefcdielrtdelotd protocolsandknowlgetAndeeparmenthdrongulueofolboaioetwndtsandursandsFourtecton strategies weredevelopedbasedontheidentifedobstacleand promotingfactors.Conclusions：Therewasagapbetween clinicalnursing practicesandtebestevidencefortheaessmentandmanagementofstricrsalsinpreteifant.Trgetedstrategiesbasedonthe obstacle and promoting factors could promote evidence transformation.

Keywordspreterminfants;gastricresidual;review indicators;obstaclefactors;enteralnutrition;evidence-based practice

早产儿是指出生胎龄 <37 周的新生儿，全球早产儿出生率为 5%～18% ，我国早产儿出生率约为7.1% ，且呈逐年上升趋势[2]。（剩余10308字）