护理研究2025，Vol.39Issue(14)：2336-2343,8.DOI:10.12102/j.issn.1009-6493.2025.14.003
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
Development of review indicators and analysis of influencing factors for the assessment and management of gastric residuals in preterm infants
摘要
Abstract
Objective:To comprehensively evaluate the current application of best evidence for the assessment and management of gastric residuals in preterm infants,to develop review indicators,and to analyze obstacle factors and promoting factors of evidence application.Methods:Guided by the evidence-based clinical application model from the Joanna Briggs Institute(JBI)Evidence-Based Healthcare Center in Australia,the best evidence for the assessment and management of gastric residuals in preterm infants was incorporated.Review indicators were developed.Obstacle and promoting factors of evidence application were analyzed.And corresponding action strategies were formulated.Results:A total of 13 pieces of evidence were included.And 24 review indicators were identified.Prior to evidence implementation,there were 16 indicators for which nurses' evidence-based knowledge awareness rate of the assessment and management of gastric residuals were<80%.And there were 10 indicators for which compliance with evidence-based practices of the assessment and management of gastric residuals in preterm infants were<100%.The main obstacle factores of evidence application included some evidences were unclear or not intuitive.the nursing team generally had weak evidence-based knowledge and lacked confidence in the implemented evidence.And the former shift system in the department resulted in an uneven distribution of staff between day and night shifts and so on.Key promoting factors included department managers possessed a higher level of evidence-based expertise and actively participated in the development of evidence-based protocols and knowledge training.And the department had a strong culture of collaboration between doctors and nurses and so on.Fourteen action strategies were developed based on the identified obstacle and promoting factors.Conclusions:There was a gap between clinical nursing practices and the best evidence for the assessment and management of gastric residuals in preterm infants.Targeted strategies based on the obstacle and promoting factors could promote evidence transformation.关键词
早产儿/胃残留/审查指标/障碍因素/肠内营养/循证实践Key words
preterm infants/gastric residual/review indicators/obstacle factors/enteral nutrition/evidence-based practice引用本文复制引用
黄周旋,沈飞,戎惠,李芳,顾莺..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[J].护理研究,2025,39(14):2336-2343,8.基金项目
复旦大学循证护理中心证据转化与临床应用项目,编号:Fudanebn202328 （）
