超早期肠内匀浆膳联合结构性营养护理对ICU患者的护理效果评价  

Nursing eff ect evaluation of ultra-early enteral homogenized meal combined with structured nutritional care for ICU patients

作　　者：郭丽娟 王卉洁 刘瑾 丁蓉 康荣发 GUO Lijuan;WANG Huijie;LIU Jin;DING Rong;KANG Rongfa(The First People's Hospital of Yancheng,Yancheng 224500,China)

机构地区：[1]盐城市第一人民医院,江苏省盐城市224500

出　　处：《护理实践与研究》2024年第5期752-758,共7页Nursing Practice and Research

摘　　要：目的分析超早期肠内匀浆膳营养支持联合结构性营养护理干预对重症监护病房(ICU)患者生活质量、营养状态及ICU结局的影响。方法选取2020年7月—2022年7月医院ICU收治的100例患者为研究对象,按照组间基本特征具有可比性的原则将其分为对照组与观察组,每组50例。对照组实施常规护理,入住ICU 24~48 h内实施肠内营养治疗,观察组患者在常规护理基础上实施超早期(入ICU 24 h内)肠内匀浆膳营养支持联合结构性营养护理干预,比较两组患者生活质量、营养状态及ICU结局状况。结果实施超早期肠内匀浆膳营养支持联合结构性营养护理干预前,两组患者生活质量评分比较差异无统计学意义(P>0.05);干预后(患者出ICU当日),观察组患者生活质量评分高于对照组,差异具有统计学意义(P<0.05);干预前,两组患者血清总蛋白(TP)、白蛋白(ALB)、血红蛋白(Hb)、转铁蛋白(TF)水平比较差异无统计学意义(P>0.05);干预后(患者出ICU当日),观察组患者TP、ALB、Hb、TF高于对照组,差异具有统计学意义(P<0.05);干预后(患者出ICU当日),观察组患者机械通气时间、ICU住院时间、营养达标时间短于对照组,镇痛镇静药物使用剂量少于对照组,差异具有统计学意义(P<0.05)。结论超早期肠内匀浆膳营养支持联合结构性营养护理干预,可提高ICU患者生活质量,改善营养状态及ICU临床结局。Objective To analyze the effects of ultra-early enteral homogenized dietary nutritional support combined with structural nutritional nursing intervention on the quality of life,nutritional status and ICU outcomes of intensive care unit(ICU)patients.Methods 100 patients admitted to the ICU of the hospital from July 2020 to July 2022 were selected as the study subjects,they were divided into the control group and the observation group according to the principle of comparability of basic characteristics between the groups,with 50 cases in each group.Conventional care was implemented in the control group,and enteral nutrition therapy was carried out within 24~48 h of admission to the ICU,while in the observation group,ultra-early(within 24 h of admission to the ICU)enteral homogenized dietary nutritional support combined with structural nutritional nursing interventions were implemented on the basis of conventional care,quality of life,nutritional status,and ICU outcomes of the patients in the two groups were compared.Results Before the implementation of ultraearly enteral homogenized dietary nutritional support combined with structural nutritional nursing intervention,there was no statistically signifi cant diff erence in the quality of life between the two groups(P>0.05).After the intervention(on the day of discharge from the ICU),the quality of life scores of the patients in the observation group were higher than those of the control group,and the diff erence was statistically signifi cant(P<0.05).Before the intervention,the patients in the two groups had serum total protein(TP),albumin(ALB),hemoglobin(Hb),transferrin(TF)levels were not statistically signifi cant in comparison(P>0.05).After intervention(on the day of discharged from the ICU),TP,ALB,Hb,and TF of patients in the observation group were higher than those of the control group,and the diff erence was statistically signifi cant(P<0.05).After intervention(on the day of discharged from the ICU),the time of mechanical ventilation,the time of hospitalization

关 键 词：早期 肠内匀浆膳营养支持 结构性营养护理干预 重症监护室 生活质量 营养状态 结局 

分 类 号：R47[医药卫生—护理学]