《成人患者经皮内镜胃造瘘及空肠造瘘护理管理的临床实践指南》解读

Interpretation of the Clinical Practice Guidelines for the Nursing Management of Percutaneous Endoscopic Gastrostomy and Jejunostomy in adult patients

胃造瘘和空肠造瘘是临床常见的进行肠内营养输入的通道。近5年来,国内尚无相关的护理指南和综述,2018年8月,"伤口、造瘘和失禁护理协会"发布了《成人患者经皮内镜胃造瘘及空肠造瘘护理管理的临床实践指南》,包括了胃造瘘和空肠造瘘的术前准备、手术过程及术后监测,造瘘和肠内营养管的管理,肠内营养及药物的使用,用药错误的预防,早期和晚期并发症的处理,对患者及其照护者的宣教,导管的更换等方面具体的建议。笔者对该指南进行了解读,以期为临床胃造瘘和空肠造瘘的护理提供借鉴。

Percutaneous endoscopic gastrostomy (PEG) and percutaneous endoscopic Jejunostomy (PEJ) are common channels for enteral nutrition input.In the past five years,there are no relevant nursing guidelines and reviews in China.In August 2018,Wound,Ostomy and Continence Nurses Society (WOCN) issued the Clinical Practice Guidelines for Nursing Management of Percutaneous Endoscopic Gastrostomy and Jejunostomy in Adults,including preoperative preparation,surgical procedure and postoperative monitoring of gastrostomy and Jejunostomy.The management of enteral nutrition tube,the use of enteral nutrition and drugs,the prevention of medication errors,the treatment of early and late complications,the education of patients and their caregivers,and the replacement of catheters are all recommended.This article interpreted the guideline in order to provide reference for clinical nursing of gastrostomy and Jejunostomy.