早期集束化护理结合饲管定位经鼻空肠营养干预ICU重症患者的效果分析  

Effect of early cluster nursing combined with feeding tube positioning for nasal jejunal nutrition intervention in critical patients of ICU

作　　者：杨菲菲[1] YANG Feifei(Department of Critical Care Medicine,Affiliated Cancer Hospital of Guangxi Medical University,Nanning City,Guangxi Zhuang Autonomous Region,530000,China)

机构地区：[1]广西医科大学附属肿瘤医院重症医学科,广西南宁530000

出　　处：《蛇志》2024年第1期72-75,共4页Journal of Snake

摘　　要：目的探讨早期集束化护理结合饲管定位经鼻空肠营养干预ICU重症患者的效果。方法选取2022年6月至2023年6月在我院ICU重症病房收治的120例患者作为研究对象,按照随机数字表法分为观察组和对照组,每组60例。对照组采取ICU重症病房标准护理方案并给予常规肠内营养干预,观察组采取早期集束化护理和饲管定位经鼻空肠营养干预,观察比较两组患者的干预效果。结果护理后,两组患者的血清白蛋白(ALB)、前白蛋白(PA)和血红蛋白(Hb)水平均有所上升,且观察组患者的ALB、PA和Hb水平均高于对照组,差异均有统计学意义(均P<0.05)。观察组患者的肠内营养并发症发生率低于对照组,组间比较差异有统计学意义(P<0.05)。两组患者3 d热卡达标率比较,差异无统计学意义(P>0.05);观察组患者的7 d热卡达标率明显高于对照组,差异有统计学意义(P<0.05)。结论在ICU重症患者的营养干预中,采取早期集束化护理结合饲管定位经鼻空肠营养干预可保证患者热能和营养摄入,有效改善患者的营养状态,降低不良反应发生率,对促进患者康复具有重要意义,值得临床应用和推广。Objective To explore the effect of early cluster nursing combined with nasojejunal nutrition on critical patients of ICU.Methods 120 patients in our ICU from June 2022 to June 2023 were randomly divided into observation group and control group with 60 patients in each group.The patients in the control group were treated with ICU routine enteral nutrition,while the patients in the observation group were treated with early cluster nursing and nasojejunal nutrition intervention.The intervention effects of the two groups were compared and analyzed.Results After nursing,the levels of ALB,PA and Hb in the two groups increased,and the levels of ALB,PA and Hb in the observation group were significantly higher than those in the control group.The incidence of enteral nutrition complications in the observation group was significantly lower than that in the control group(all P<0.05),and the rate reaching standard of 3 d calorie there was no significant difference between the two groups(P>0.05).The 7 d calorie attainment rate of patients in the observation group was significantly higher than that in the control group(P<0.05).Conclusion Early cluster nursing combined with nasojejunal nutrition intervention can be adopted in the nutritional intervention of ICU critical patients,which can effectively improve the nutritional status of ICU,reduce the incidence of adverse reactions and ensure the intake of energy and nutrition,which is of great significance to the rehabilitation of patients and is worthy of clinical application and promotion.

关 键 词：集束化护理 饲管定位 经鼻空肠营养 

分 类 号：R473.5[医药卫生—护理学]