肠内营养护理：理论、实践与管理创新

本书以“健康中国”国家战略为引领, 以患者和临床实际需求为导向, 以与临床实际紧密配合为出发点, 从理论、实践及管理等三大方面进行阐述, 内容涵盖胃肠道解剖生理、营养代谢与吸收、营养风险筛查、肠内营养途径选择与建立、营养制剂的确定与应用, 并发症的识别、预防及处理、特殊疾病与人群的营养支持、肠内营养的置管及辅助技术、营养护理团队的建立、营养相关的伦理问题等, 以期为广大护理人员及患者带来福利与帮助。

常健，博士、MBA，主任护师，硕士生导师，上海市护理学会护理人文专委会副主任委员、中国老年医学学会医疗照护分会常委。

导　论·························································································· 1理论篇第一章　胃肠道生理与营养学基础 ····················································14第一节　胃肠道的生理解剖 ·······················································14第二节　胃肠道黏膜屏障 ··························································21第三节　胃肠道的运动 ·····························································24第四节　营养的代谢与吸收 ·······················································26第二章　营养风险筛查与状况评价 ····················································28第一节　营养风险筛查 ·····························································28第二节　营养状况评价 ·····························································35第三节　肠内营养代谢研究 ·······················································45第三章　肠内营养制剂 ···································································53第一节　肠内营养制剂的分类 ····················································53第二节　各类制剂的特点与应用 ·················································56第四章　特殊医学用途配方食品 ·······················································66第一节　概述 ·········································································66第二节　特殊医学用途配方食品的分类 ········································67第三节　特殊医学用途配方食品的保存与管理 ·······························84 第五章　肠内营养支持途径与方式 ····················································87第一节　肠内营养支持途径 ·······················································87第二节　肠内营养输注方式 ····················································· 104第三节　肠内营养支持时机 ····················································· 107第六章　特殊人群的肠内营养支持 ·················································· 110第一节　儿童的肠内营养支持 ·················································· 110第二节　孕妇的肠内营养支持 ·················································· 120第三节　老年患者的肠内营养支持 ············································ 131第四节　肿瘤患者的肠内营养支持 ············································ 144第五节　危重患者的肠内营养支持 ············································ 150第六节　围手术期患者的肠内营养支持 ······································ 154第七章　肠内营养并发症与防治 ····················································· 161第一节　常见并发症 ······························································ 161第二节　并发症的监测与预防 ·················································· 181实践篇第八章　鼻胃管的置入与护理 ························································ 188第九章　鼻十二指肠管的置入与护理 ··············································· 194第十章　鼻空肠管的置入与护理 ····················································· 207第十一章　胃空肠造口置管及其护理 ··············································· 215第一节　胃空肠造口置管的历史与发展 ······································ 215第二节　胃造口术的概念与发展 ··············································· 217第三节　胃造口置管条件 ························································ 235第四节　胃造口置管前的准备工作 ············································ 237 第五节　胃造口置管过程 ························································ 240第六节　胃造口置管操作流程中的并发症 ··································· 250第七节　胃造口置管后常见并发症的处理 ··································· 256第八节　胃造口置管的护理常规 ··············································· 258第九节　胃造口术后的居家护理 ··············································· 262第十节　胃造口置管应急预案 ·················································· 268第十一节　空肠造口术 ··························································· 272第十二节　经皮颈部穿刺食管造口置管术 ··································· 284第十二章　腹腔压力的监测 ··························································· 287第十三章　肠内营养置管的辅助技术 ··············································· 293第十四章　肠内营养操作的辅助用具 ··············································· 297管理篇第十五章　肠内营养专科团队的组建 ··············································· 304第一节　团队成员的架构与管理、培训与培养 ····························· 305第二节　医院档案建立与管理 ·················································· 308第三节　互联网医院 ······························································ 309第四节　开业护士及护士处方权 ··············································· 316第十六章　肠内营养的管理 ··························································· 321第一节　肠内营养的质量控制 ·················································· 321第二节　肠内营养的安全管理 ·················································· 327第十七章　肠内营养支持的供给情况及特点 ······································ 338第一节　肠内营养支持现状 ····················································· 338第二节　临床肠内营养支持 ····················································· 348 第三节　家庭肠内营养支持 ····················································· 356第十八章　肠内营养相关的健康科普教育 ········································· 367第十九章　肠内营养相关的伦理学问题 ············································ 374附　录······················································································· 386参考文献 ··················································································· 392