循证护理对经皮内镜下胃造瘘术后肠内营养及并发症的干预效果  

Intervention effects of evidence-based nursing on enteral nutrition and complications of patients after PEG

作　　者：刘迎春[1] 熊国英[2] 龙国利[3] 陈超华[3] 咎力 冯苏霞 周君[3] 

机构地区：[1]四川省医学科学院·四川省人民医院城东病区儿科,成都610110 [2]四川省医学科学院·四川省人民医院护理部,成都610110 [3]四川省医学科学院·四川省人民医院ICU,成都610110

出　　处：《中华现代护理杂志》2016年第7期909-912,共4页Chinese Journal of Modern Nursing

基　　金：四川省卫生厅科研课题（120136）

摘　　要：目的：探析循证护理应用于经皮内镜下胃造瘘术（ PEG）术后肠内营养中的效果以及对相关并发症的防治效果。方法采用回顾合并前瞻性队列研究方法,将2013年1月前未实施循证护理的58例PEG肠内营养患者列入对照组,2013年1月后实施循证护理的60例PEG肠内营养患者列入干预组,对比分析两组患者护理干预效果。结果干预组并发症发生率（11.67%）明显低于对照组（43.10%）（P〈0.01）,干预组感染性并发症发生率（5.00%）明显低于对照组（20.69%）（P〈0.01）。进食时间和并发症发生无明显关联（P〉0.05）；营养输注方式和皮肤敷料更换频率具有显著性关联（P〈0.01）。结论循证护理应用于PEG术后肠内营养能有效预防相关并发症的发生,促进患者胃肠功能及全身营养状况早期恢复,缩短住院时间。Objective To explore the application effects of evidence-based nursing in percutaneous endoscopic gastrostomy （ PEG ） postoperative enteral nutrition and the effects of prevention and treatment of complications. Methods A retrospective and prospective cohort study method was adopted. The control group was composed of 58 cases of PEG enteral nutrition patients, on whom evidence-based nursing was not conducted before January 2013, while the intervention group was composed of 60 cases of PEG enteral nutrition patients, on whom evidence-based nursing was conducted after January 2013. Intervention effects of nursing were compared and analyzed between two groups. Results The incidence of complications in the intervention group （11. 67%） was significantly lower than that of the control group （43. 10%） （P〈0. 01）, and the incidence of infectious complications in the intervention group （5. 00%） was significantly lower than that of the control group （20.69%） （P〈0. 01）. There was no significant association between feeding time and complications （P 〉0. 05）;there was significant association between ways of nutrition infusion and replacement rate of skin dressing （P〈0. 01）. Conclusions Application of evidence-based nursing in postoperative enteral nutrition of PEG patients can effectively prevent complications from happening, promote recovery of patients′ gastrointestinal function and overall nutritional status, and eventually shorten the time of hospitalization.

关 键 词：循证护理 经皮内镜下胃造瘘术 肠内营养 并发症 

分 类 号：R473[医药卫生—护理学] R-03[医药卫生—临床医学]