目的 总结儿童患者家庭鼻饲（home nasal feeding，HNF）管理的相关证据，为相关患者管理提供循证实践指导。 方法 基于“6S”模型，系统检索国内外指南网站、数据库及其他相关网站中有关儿童患者HNF安全管理证据，检索时间为建库至2023年12月31日。结果 共纳入10篇文献，其中指南4篇、专家共识4篇、临床决策2篇，从儿童患者家庭鼻饲的指征、开始时机、停止时机、禁忌、评估、营养支持团队的组成及职能、营养及药物输注及并发症的管理等13个方面总结出37条证据。结论 总结的儿童患者HNF营养支持的证据，可为临床实践提供参考。建议医护人员制订HNF支持方案时，要结合具体情况，注重证据的适用性和可行性。

Objective To summarize the evidence on home nasal feeding (HNF) management in pediatric patients and provide evidence-based guidance for clinical practice.Methods Guideline and literature databases,and other relevant sources at home and abroad were systematically searched for evidence on the safety management of HNF in pediatric patients based on the “6S” model.The search period spanned from database inception to December 31,2023.Results A total of 10 articles were included,comprising 4 guidelines,4 expert consensus statements,and 2 clinical decision-making documents.37 pieces of evidence were summarized across 13 aspects,including indications,initiation timing,discontinuation timing,contraindications,assessment,composition and roles of the nutrition support team,nutrient and medication administration,and complication management.Conclusions The synthesized evidence on HNF for pediatric patients can serve as the reference for clinical practice.Healthcare professionals should consider the applicability and feasibility of the evidence when developing HNF support plans,tailoring them to patient needs.

R473.2

上海市高水平地方高校建设项目；新华医院护理学科建设项目（HLXKRC2021003）