先天性心脏病术后延迟关胸患儿程序式喂养的护理  

Nursing care of pediatric patients receiving procedural feeding with complicated congenital heart disease underwent delayed chest closure

作　　者：傅唯佳 顾莺 宓亚平[1] 徐昱璐 潘蕴[1] Weijia FU;Ying GU;Yaping MI;Yulu XU;Yun PAN

机构地区：[1]复旦大学附属儿科医院心脏监护室,上海市201102 [2]复旦大学附属儿科医院护理部

出　　处：《中华护理杂志》2019年第7期1048-1051,共4页Chinese Journal of Nursing

基　　金：2015年度上海市卫生和计划生育委员会科研课题面上项目(201540344);上海市重要薄弱学科建设项目(2015ZB0302)

摘　　要：总结5例复杂性先天性心脏病术后延迟关胸患儿程序式喂养的护理经验。护理要点包括:由儿童心脏病专家、心胸外科医生、心脏专科护士、营养师、胃肠病专家、康复治疗专家联合制订程序式喂养方案;微量喂养以维持其肠道功能;肠道功能评估后尽早启动肠内营养,初始喂养量设定为1~2 ml/(kg·h);联合使用腹围测量(1次/12 h)、肠鸣音及胃肠道症状评估喂养不耐受;有序规律地推进肠内营养的实施,持续监测患儿的营养状况,每周监测2次体重、1次身长。本组均顺利关胸,达到全量经口喂养,病情缓解后出院。This article summarized nursing experience of procedural feeding for five pediatric patients with complicated congenital heart disease underwent post-operative delayed chest closure. Key nursing points included: a procedural feeding program was developed together with pediatric cardiologists,cardiac surgeons,cardiac specialist nurse,nutritionists,gastroenterologists and rehabilitation specialists;minimal feeding was performed to maintain intestinal function;enteral nutrition was initiated as early as possible after full assessment of intestinal function,and initial feeding volume was set at 1 to 2 ml/(kg·h);feeding intolerance was assessed by abdominal circumference measurement(once/12 h),bowel sounds and gastrointestinal symptoms;implementation of enteral nutrition was advanced in an orderly and regular manner,and nutritional status of pediatric patients was continuously monitored,weight was assessed twice a week,and length of body was assessed once a week. All pediatric patients in this group successfully received chest closure,and all reached the full amount of oral feeding,who were discharged after the disease was relieved.

关 键 词：先天性心脏病 延迟关胸 微量喂养 儿科护理学 

分 类 号：R473.72[医药卫生—护理学]