Department of Hepatobilology, General Hospital of Ningxia Medical University, Yin Chuan, China.
Department of Neonatal Intensive Care Unit, General Hospital of Ningxia Medical University, Yin Chuan, China.
Saudi J Gastroenterol. 2024 Jan 1;30(1):63-70. doi: 10.4103/sjg.sjg_205_23. Epub 2023 Sep 15.
This study aimed to construct an enteral nutrition evaluation system for critically ill patients using the Delphi method to direct the formulation of enteral nutrition support strategies and reduce interruption to enteral feeding.
We used domestic and foreign databases to obtain and analyze the literature and form "The Whole-Proceeding Enteral Nutrition Evaluation System for Critically Ill Patients." The Delphi method was used to conduct two rounds of expert opinion consultation, combined with the suggestions from the research group to finalize the nutrition evaluation content of the system.
After two rounds of expert consultation, a nutrition evaluation system was formed around three dimensions: before the start, during, and after the end of nutritional support. The effective recovery rates of the two rounds of expert consultation were 90.0% (18/20) and 100.0% (18/18), respectively. Authority coefficients were 0.865 and 0.908, while Kendall coordination coefficients were 0.108 ( P < 0.05) and 0.115 ( P < 0.001), respectively. Finally, the full enteral nutrition evaluation system for critically ill patients was constructed based on the Delphi method, including three primary items and seven secondary and 28 tertiary indicators.
The established "Whole-Proceeding Enteral Nutrition Evaluation System for Critically Ill Patients" has high consistency from expert opinions and reliability, which can provide a practical evaluation tool for the process of enteral nutrition for severe patients.
本研究旨在采用德尔菲法构建危重症患者肠内营养评估体系，指导肠内营养支持策略的制定，减少肠内喂养中断。
我们采用国内外数据库获取和分析文献，形成《危重症患者全程肠内营养评估系统》。采用德尔菲法进行两轮专家意见咨询，结合课题组建议最终确定系统的营养评估内容。
两轮专家咨询后，围绕营养支持前、中、后三个维度形成了营养评估体系。两轮专家咨询的有效回收率分别为 90.0%（18/20）和 100.0%（18/18），权威系数分别为 0.865 和 0.908，Kendall 协调系数分别为 0.108（P<0.05）和 0.115（P<0.001）。最终采用德尔菲法构建了包含 3 个一级条目、7 个二级条目和 28 个三级指标的危重症患者全程肠内营养评估体系。
所构建的《危重症患者全程肠内营养评估系统》专家意见一致性较高，可靠性较好，可为重症患者肠内营养过程提供实用的评估工具。
