营养序贯护理干预应用于老年重症肺炎患者的效果观察  

Observation of the Effect of Nutritional Sequential Nursing Intervention Applied to Elderly Patients with Severe Pneumonia Authors

作　　者：陈艳芳[1] 徐欢欢[1] 方勤[1] 催俊华 CHEN Yanfang;XU Huanhuan;FANG Qin;CUI Junhua(Department of Intensive care medicine,Luohe Central Hospital,Luohe Henan 462000,China)

机构地区：[1]漯河市中心医院重症医学科,河南漯河462000

出　　处：《临床研究》2024年第2期191-194,共4页Clinical Research

摘　　要：目的探讨老年重症肺炎患者采取营养序贯护理干预的临床应用效果,以便为日后临床提供参考。方法选取2021年1月至2022年12月漯河市中心医院收入的老年重症肺炎患者72例,依据数表法随机分为对照组与观察组,各36例,对照组开展常规分次定量鼻饲护理,观察组基于此接受营养序贯护理,就两组患者机体免疫功能[干预前后监测免疫球蛋白A(IgA)、免疫球蛋白G(IgG)、免疫球蛋白M(IgM)]、营养指标(干预前后监测血清白蛋白、前白蛋白及血红蛋白)、机械通气时间、重症加强护理病房(ICU)住院时间及并发症风险(统计胃潴留、腹泻、上消化道出血、肝功能损伤及腹胀发生状况)进行组间比较。结果干预后,两组患者机体免疫功能指标均提高,观察组患者高于对照组,差异有统计学意义(P<0.05)。干预后,两组患者营养指标均提高,观察组患者高于对照组,差异有统计学意义(P<0.05)。观察组患者机械通气时间、ICU住院时间均短于对照组,差异有统计学意义(P<0.05)。观察组患者并发症风险均低于对照组,差异有统计学意义(P<0.05)。结论将营养序贯护理干预用于老年重度肺炎患者,可以提高患者的营养状况,提高患者的免疫力,加速患者的身体恢复,降低患者的并发症。Objective To explore the clinical application effect of nutritional sequential nursing intervention in elderly patients with severe pneumonia,in order to provide reference for future clinical practice.Methods From January 2021 to December 2022,72 elderly patients with severe pneumonia admitted to Luohe Central Hospital were selected.According to the random number table method,they were divided into control group and observation group,each with 36 cases.The control group carried out routine fractional quantitative nasal feeding care,and the observation group received nutritional sequential nursing based on this.The immune function(monitoring immunoglobulin A(IgA),immunoglobulin G(IgG),immunoglobulin M(IgM)before and after intervention),nutritional indicators(monitoring serum albumin,prealbumin and hemoglobin before and after intervention),mechanical ventilation time,intensive care unit(ICU)hospitalization time and complication risk(statistics of gastric retention,diarrhea,upper gastrointestinal bleeding,liver function injury and abdominal distension)were compared between the two groups.Results After intervention,the immune function indicators of both groups of patients improved,and the observation group was higher than the control group,the difference was statistically significant(P<0.05).After intervention,the nutritional indicators of both groups of patients improved,and the observation group was higher than the control group,the difference was statistically significant(P<0.05).The mechanical ventilation time and ICU hospitalization time of the observation group were shorter than those of the control group,the difference was statistically significant(P<0.05).The complication risk of the observation group was lower than that of the control group,the difference was statistically significant(P<0.05).Conclusion The application of nutritional sequential nursing intervention to elderly patients with severe pneumonia can improve the nutritional status of patients,enhance the immunity of patients,accelerate the recovery

关 键 词：老年人群 重症肺炎 营养序贯护理 分次定量鼻饲护理 

分 类 号：R473[医药卫生—护理学]