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Objective:To identify hot research topics about enteral nutrition in critically ill patients in PubMed from 2011 to 2020, and to explore the current research landscape and development directions.Methods:Literature about enteral nutrition published from 2011 to 2020 were retrived in the PubMed database. Subject headings in publications were extracted using BICOMB and then two-way cluster analysis was performed using gCLUTO to cluster the subjects and generate cluster curve, matrix and tree diagram.Results:A total of 5,686 publications were included, mostly published in Unites States and United Kingdom and with an increasing trend. The researches focused on five aspects including feeding practice in very low birth weight infants, prevention and control of aspiration pneumonia in critically ill patients, catheterization methods in enteral nutrition, protein intake in critically ill patients, and clinical implementation of enteral nutrition guidelines in critically ill patients.Conclusions:Much importance has been attached to enteral nutrition researches over the recent decade. Analysis of hot research topics in enteral nutrition is beneficial to understanding the current research landscape and development directions and providing references for practice, research and education of enteral nutrition.
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Objective To identify the potential risks in patients receiving continuous renal replacement therapies (CRRT). Methods The concept of failure mode and effect analysis (FMEA) was used to analyze the management of CRRT, to find out the potential failure risks in all of the steps, risk priority numbers (RPNs) of each failure mode were calculated and countermeasures were implemented. Results Twenty-eight failure modes were analyzed, of which 8 modes RPN>125. After improvement of the nursing process in patients with CRRT, the RPN was lowered. The incidence of unplanned end of the CRRT was decreased from 10.86％ (24/221) to 5.81％ (14/241) (χ2=3.896, P<0.05). Conclusions Application of FMEA in risk management for CRRT can help to standardize the workflow and guarantee the safety of patients during CRRT, and is beneficial to continuous improvement of nursing.
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Objective To study the perception of patients and nurses for the artificial airway suction,in order to provide theoretical reference for building the artificial airway suction clinical practice guidelines.Methods CNKI,Wanfang,VIP,Pubmed,Science direct databases were searched for papers of patients and/or nurses' perception over the limited period of 2005 to 2013.The retrieved papers were analyzed.Results Nineteen eligible papers were identified.Extract relevant contents found the majority of patients retained the memory of that airway suction,mainly for pain,choking,suffocation,and eager to get the relevant knowledge and information.There were few researches on nurses' subjective feeling about airway suction.Conclusion We should pay attention to the perception of patients,while strengthening the research on nurses' perception of artificial airway suction and improve communication with patients,in order to relieve their discomfort experience,and could be helpful for the building of airway suction clinical practice guidelines.