{"title":"调查脓毒症中喂养不耐受的关键因素：一项范围综述。","authors":"Yijing Ling, Xufeng Chen, Yujia Gu, O Mensah Solomon, Gaimei Wang, Yehong Wei","doi":"10.1111/nicc.70038","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>At present, domestic and international research on the current status of feeding intolerance in septicemia patients only stops at the study of influencing factors; however, due to the specificity of the disease, the influencing factors are numerous and controversial.</p><p><strong>Aims: </strong>To systematically analyse the studies related to the occurrence of feeding intolerance in patients with sepsis, to find out the influencing factors of feeding intolerance in these patients and to provide a reference for nursing staff to develop relevant interventions.</p><p><strong>Study design: </strong>The study employed Arksey and O'Malley's methodology to carry out a scoping review. We conducted a systematic search, using the scoping review as a framework, for relevant Chinese and English literature on factors influencing feeding intolerance in patients with sepsis in China Knowledge Network, Wanfang, CINAHL, Pubmed, Web of Science and Google Scholar, covering a time frame from construction to 1 September 2024. We identified research questions, completed literature screening and quality assessment, extracted data and summarized and analysed the data.</p><p><strong>Results: </strong>The review included a total of 13 papers. Factors influencing feeding intolerance in septicemia patients included patient factors, disease factors, biochemical indicators, feeding determinants, clinical treatment and drug effects.</p><p><strong>Conclusions: </strong>Factors affecting feeding intolerance in patients with sepsis are multifaceted. We should develop individualized care plans based on relevant risk factors to improve feeding tolerance and shorten hospital stays in patients with sepsis.</p><p><strong>Relevance to clinical practice: </strong>In order to improve the ability of ICU nurses to identify the risk factors of feeding intolerance in patients with sepsis, it is recommended to conduct systematic training on the pathophysiology of sepsis, influencing factors of feeding intolerance and intervention measures and assist nurses to implement appropriate intervention measures.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 3","pages":"e70038"},"PeriodicalIF":3.0000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Investigating key factors of feeding intolerance in sepsis: A scoping review.\",\"authors\":\"Yijing Ling, Xufeng Chen, Yujia Gu, O Mensah Solomon, Gaimei Wang, Yehong Wei\",\"doi\":\"10.1111/nicc.70038\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>At present, domestic and international research on the current status of feeding intolerance in septicemia patients only stops at the study of influencing factors; however, due to the specificity of the disease, the influencing factors are numerous and controversial.</p><p><strong>Aims: </strong>To systematically analyse the studies related to the occurrence of feeding intolerance in patients with sepsis, to find out the influencing factors of feeding intolerance in these patients and to provide a reference for nursing staff to develop relevant interventions.</p><p><strong>Study design: </strong>The study employed Arksey and O'Malley's methodology to carry out a scoping review. 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引用次数: 0
摘要
背景：目前国内外对败血症患者喂养不耐受现状的研究仅停留在影响因素的研究上；然而，由于疾病的特殊性，影响因素众多，争议颇多。目的：系统分析脓毒症患者喂养不耐受发生的相关研究，找出脓毒症患者喂养不耐受发生的影响因素，为护理人员制定相关干预措施提供参考。研究设计：本研究采用Arksey和O'Malley的方法进行范围审查。我们以范围综述为框架，系统检索了中国知识网、万方网、CINAHL网、Pubmed网、Web of Science网和谷歌Scholar网站上关于脓毒症患者喂养不耐受影响因素的相关中英文文献，检索时间为建站至2024年9月1日。我们确定研究问题，完成文献筛选和质量评估，提取数据，总结和分析数据。结果：共纳入文献13篇。影响败血症患者喂养不耐受的因素包括患者因素、疾病因素、生化指标、喂养决定因素、临床治疗和药物效果。结论：影响脓毒症患者喂养不耐受的因素是多方面的。我们应根据相关危险因素制定个性化护理方案，提高脓毒症患者的喂养耐受性，缩短住院时间。与临床实践的相关性：为提高ICU护士识别脓毒症患者喂养不耐受危险因素的能力，建议对脓毒症的病理生理、喂养不耐受的影响因素及干预措施进行系统的培训，协助护士实施相应的干预措施。
Investigating key factors of feeding intolerance in sepsis: A scoping review.
Background: At present, domestic and international research on the current status of feeding intolerance in septicemia patients only stops at the study of influencing factors; however, due to the specificity of the disease, the influencing factors are numerous and controversial.
Aims: To systematically analyse the studies related to the occurrence of feeding intolerance in patients with sepsis, to find out the influencing factors of feeding intolerance in these patients and to provide a reference for nursing staff to develop relevant interventions.
Study design: The study employed Arksey and O'Malley's methodology to carry out a scoping review. We conducted a systematic search, using the scoping review as a framework, for relevant Chinese and English literature on factors influencing feeding intolerance in patients with sepsis in China Knowledge Network, Wanfang, CINAHL, Pubmed, Web of Science and Google Scholar, covering a time frame from construction to 1 September 2024. We identified research questions, completed literature screening and quality assessment, extracted data and summarized and analysed the data.
Results: The review included a total of 13 papers. Factors influencing feeding intolerance in septicemia patients included patient factors, disease factors, biochemical indicators, feeding determinants, clinical treatment and drug effects.
Conclusions: Factors affecting feeding intolerance in patients with sepsis are multifaceted. We should develop individualized care plans based on relevant risk factors to improve feeding tolerance and shorten hospital stays in patients with sepsis.
Relevance to clinical practice: In order to improve the ability of ICU nurses to identify the risk factors of feeding intolerance in patients with sepsis, it is recommended to conduct systematic training on the pathophysiology of sepsis, influencing factors of feeding intolerance and intervention measures and assist nurses to implement appropriate intervention measures.
期刊介绍：
Nursing in Critical Care is an international peer-reviewed journal covering any aspect of critical care nursing practice, research, education or management. Critical care nursing is defined as the whole spectrum of skills, knowledge and attitudes utilised by practitioners in any setting where adults or children, and their families, are experiencing acute and critical illness. Such settings encompass general and specialist hospitals, and the community. Nursing in Critical Care covers the diverse specialities of critical care nursing including surgery, medicine, cardiac, renal, neurosciences, haematology, obstetrics, accident and emergency, neonatal nursing and paediatrics.
Papers published in the journal normally fall into one of the following categories:
-research reports
-literature reviews
-developments in practice, education or management
-reflections on practice
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