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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

王蓉 王海鸥 田雅丽 赵珊珊 宋洪涛

护理研究2024,Vol.38Issue(14):2501-2507,7.
护理研究2024,Vol.38Issue(14):2501-2507,7.DOI:10.12102/j.issn.1009-6493.2024.14.009

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

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

王蓉 1王海鸥 1田雅丽 1赵珊珊 1宋洪涛1

作者信息

  • 1. 江苏省人民医院(南京医科大学第一附属医院),江苏 210009
  • 折叠

摘要

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.

关键词

重症病人/重症急性胰腺炎/肠内营养/腹内压/早期预警/方案构建/德尔菲法/护理

Key words

critically ill patients/severe acute pancreatitis/enteral nutrition/intra-abdominal pressure/early warning/plan construction/Delphi method/nursing

引用本文复制引用

王蓉,王海鸥,田雅丽,赵珊珊,宋洪涛..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):2501-2507,7.

护理研究

OA北大核心CSTPCD

1009-6493

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