Objective  To establish a standardized management system for oral drug administration through nasal feeding and observe its clinical implementation effect.

Methods  Authoritative books and drug instructions at home and abroad were consulted, and relevant literature at home and abroad was searched to evaluate the situation of nasal feeding administration, so as to determine the unreasonable factors in clinical nasal feeding administration. Relevant keywords were used to search in the databases, in order to determine the standardized literature and screen the best evidence for the standardized management of patients with intranasal administration of oral drugs. The GRADE grading method was used, the evidence was graded, the comprehensive evidence formed the nasal feeding administration management standard, and evidence-based practice was carried out. The recognition rates of nasal feeding, overall correct answer rates, rational results of medication and adverse events of medical staff and pharmacists before and after the implementation of management standards were compared.

Results  Compared to before the implementation of the management standard for oral drug administration through nasal feeding, after the establishment and implementation of the management standard for oral drug administration through nasal feeding, the awareness rate and overall accuracy rate of nasal feeding among medical staff and pharmacists increased, the unreasonable situations of nasal feeding administration decreased, the adverse events of nasal feeding administration decreased, and there were statistical significant differences between groups before and after implementation (P<0.05).

Conclusion  The establishment of standardized management for oral drug administration through nasal feeding has a positive effect on improving the awareness of medical staff towards nasal feeding, reducing the occurrence of unreasonable nasal feeding and adverse events.

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