Clinical Trial Details
— Status: Completed
Administrative data
NCT number |
NCT05732545 |
Other study ID # |
2021-0899 |
Secondary ID |
|
Status |
Completed |
Phase |
N/A
|
First received |
|
Last updated |
|
Start date |
January 1, 2022 |
Est. completion date |
November 1, 2022 |
Study information
Verified date |
February 2023 |
Source |
Second Affiliated Hospital, School of Medicine, Zhejiang University |
Contact |
n/a |
Is FDA regulated |
No |
Health authority |
|
Study type |
Interventional
|
Clinical Trial Summary
In this study, relevant contents of the enteral nutrition nursing programs for severe
patients with abdominal pressure were systematically searched, and quality evaluation was
carried out based on existing evidence. Based on evidence-based evidence, an enteral
nutrition nursing program for patients with abdominal pressure was constructed, to improve
the feed tolerance of patients with abdominal pressure, increase nutritional compliance rate,
and improve patient prognosis.
Description:
Background: Enteral nutrition is the preferred method of artificial nutrition for critically
ill patients. Early enteral nutrition within 24 to 48 hours after admission can maintain
intestinal mucosal barrier function, increase local blood flow, reduce bacterial migration,
and reduce the incidence of intestinal infections. Increased abdominal pressure is considered
to be an independent risk factor for feeding intolerance in severe patients. Patients with
abdominal pressure are prone to complications such as diarrhea, abdominal distension,
vomiting, and even aspiration, which forces the suspension or suspension of enteral nutrition
and leads to insufficient nutritional intake in patients. At present, there is evidence that
regulating enteral nutrition through monitoring intra-abdominal pressure can effectively
reduce the incidence of feeding intolerance in patients. Domestic and foreign scholars have
formulated nutrition management programs for patients with intra-abdominal pressure from
different aspects, such as monitoring and grading of intra-abdominal pressure, evaluation and
management of tolerance, and prevention of complications. However, The standardized enteral
nutrition feeding program oriented by the monitoring of intra-abdominal pressure has not yet
formed a unified standard.
Objective: This study conducted a quality evaluation based on existing evidence, adopted
evidence-based research methods to establish an enteral nutrition program for patients with
abdominal hypertension oriented by abdominal pressure, and aimed to improve the feeding
tolerance of patients with abdominal hypertension, improve the nutritional compliance rate
and improve the prognosis of patients through the implementation of evidence-based practice
programs.