集束干预策略预防ICU患者肠内营养期间消化道并发症的临床研究  

Preventing digestive implications for ICU patients with enteral nutrition using cluster intervention strategies

作　　者：邬敏志[1] 吴言芬 王仁坤[1] 

机构地区：[1]广东省中山市博爱医院成人综合ICU,广东中山528403

出　　处：《中国临床护理》2016年第3期216-218,共3页Chinese Clinical Nursing

摘　　要：目的探讨集束干预策略预防ICU患者肠内营养期间消化道并发症的效果。方法选取2013年5月-2014年4月予以肠内营养的ICU患者90例,根据随机数字表法分为对照组和集束组各45例。对照组进行常规护理,集束组进行集束干预护理。护理4周后,比较2组消化道并发症情况、血清二胺氧化酶浓度、肠功能障碍评分、急性生理学及慢性健康状况评分系统Ⅱ(APACHEⅡ)评分情况。结果集束组护理后的消化道并发症发生率为6.6%显著低于对照组的26.6%;集束组护理后血清二胺氧化酶浓度、肠功能障碍评分、急性生理学及APACHEⅡ评分情况均显著低于对照组。结论集束化护理干预可显著降低ICU患者肠内营养期间消化道并发症发生率,改善患者的肠功能状态。Objective To explore the prevention of digestive complications for ICU patients with enteral nutrition.Methods Totally 90 ICU patients with enteral tube feeding were randomly divided into a cluster group and a control group,each of 45,according to a random number table.The cluster group was given cluster nursing intervention,while the control group was provided with routine nursing care.After 4weeks of intervention,the gastrointestinal complications,serum diamine oxidase concentration,intestinal dysfunction score,as well as acute physiology and chronic health state evaluation scoreⅡ（APACHE II）of the two groups were compared.Results The occurrence rate of gastrointestinal complications of the cluster group was 6.6%,significantly lower than that of the control group,26.6%.Moreover,all the other measurements of the cluster group were significantly lower than the latter.Conclusion The cluster nursing intervention during the ICU enteral nutrition period,can significantly reduce patients＇ gastrointestinal complications and improve their intestinal functions.

关 键 词：肠内营养 集束化干预护理 

分 类 号：R473[医药卫生—护理学]