探究不同鼻饲法在护理重症监护病房危重患者中的应用价值  

Exploring the Application Value of Different Nasal Feeding Methods in Nursing Critical Patients in Intensive Care Unit

作　　者：陈美华[1] 黄雁翎 杨洁[1] CHEN Meihua;HUANG Yanling;YANG Jie(Department of Critical Care Medicine,the Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine,Fuzhou,Fujian Province,350004 China)

机构地区：[1]福建中医药大学附属人民医院重症医学科,福建福州350004

出　　处：《中外医疗》2021年第20期127-130,共4页China & Foreign Medical Treatment

摘　　要：目的分析重症监护病房危重患者护理中实施不同鼻饲法的效果。方法便利选取2017年2月—2019年10月该院收治的82例ICU危重患者,以随机数字表法为依据将患者分成对照组与探究组。对照组(41例)施行注射器分次鼻饲;探究组(41例)予以营养泵持续鼻饲,分析两组患者的营养指标变化(白蛋白、转铁蛋白、血红蛋白)情况、病情状况、并发症、护理满意度。结果干预后,探究组的白蛋白(37.69±1.57)g/L、转铁蛋白(4.21±0.30)g/L、血红蛋白(15.81±1.65)g/dl均明显高于对照组的(31.22±1.45)g/L、(1.51±0.22)g/L、(10.16±1.03)g/dl,差异有统计学意义(P<0.05);探究组的急性生理学与慢性健康状况(APACHE-Ⅱ)评分(19.25±0.81)分明显低于对照组(20.11±0.93)分,差异有统计学意义(P<0.05);对照组患者并发症发生率(26.83%)显著高于探究组(9.76%),差异有统计学意义(χ^(2)=3.998,P<0.05);探究组护理满意度(95.12%)显著高于对照组(70.73%),差异有统计学意义(χ^(2)=8.613,P<0.05)。结论ICU危重患者护理期间予以营养泵持续鼻饲,不仅能改善患者的营养状况及病情状况,还能显著降低患者出现并发症的概率,提升患者及其家属护理满意度,临床应用价值较高。Objective To analyze the effect of different nasal feeding methods in the nursing of critically ill patients in the intensive care unit.Methods Convenient selection of 82 critically ill patients in the ICU admitted to the hospital from February 2017 to October 2019 were divided into a control group and an exploratory group based on the random number table method.The control group(41 cases)was given nasal feeding with syringes;the exploration group(41 cases)was given continuous nasal feeding with a nutrition pump.Analyzed the changes in nutritional indicators(albumin,transferrin,hemoglobin),condition,complications,and nursing satisfaction of the two groups of patients.Results After the intervention,the albumin(37.69±1.57)g/L,transferrin(4.21±0.30)g/L,and hemoglobin(15.81±1.65)g/dl of the exploratory group were significantly higher than those of the control group(31.22±1.45)g/L,(1.51±0.22)g/L,(10.16±1.03)g/dl,the difference was statistically significant(P<0.05).The acute physiology and chronic health(APACHE-Ⅱ)score(19.25±0.81)points of the exploratory group was significantly lower than that of the control group(20.11±0.93)points,the difference was statistically significant(P<0.05).The incidence of complications in the control group(26.83%)was significantly higher than that in the exploratory group(9.76%),and the difference was statistically significant(χ^(2)=3.998,P<0.05);the nursing satisfaction of the exploratory group(95.12%)was significantly higher than that in the control group(70.73%),the difference was statistically significant(χ^(2)=8.613,P<0.05).Conclusion Continuous nasal feeding with nutritional pumps during the nursing of critically ill patients in ICU can not only improve the nutritional status and condition of patients,but also significantly reduce the incidence of complications of patients,and improve the satisfaction of patients and their families with nursing care.It has high clinical application value.

关 键 词：重症监护病房 鼻饲法 危重患者 并发症 

分 类 号：R473[医药卫生—护理学]