基于循证护理的信息化动态管理在ICU患者肠内营养支持中的应用  

Application of Dynamic Information Management Based on Evidence Nursing in Enteral Nutrition Support of ICU Patients

作　　者：蔡益虹 颜小玲 柯晓晖 郑瑞 CAI Yihong;YAN Xiaoling;KE Xiaohui;ZHENG Rui(Department of Critical Care Medicine,The First Affiliated Hospital of Xiamen University,Xiamen 361000,China)

机构地区：[1]厦门大学附属第一医院重症医学科,厦门361000

出　　处：《中国医药指南》2024年第28期37-40,共4页Guide of China Medicine

摘　　要：目的探讨基于循证护理的信息化动态管理在ICU患者肠内营养支持中应用价值。方法选取年月至年月在厦门大学附属第一医院重症医学科接受肠内营养支持治疗的86例重症患者,按照随机数字表法将其分为观察组和对照组,每组43例。对照组患者实施肠内营养支持的常规护理,观察组则采用基于循证护理的信息化动态管理护理。对干预前后两组患者的营养相关结局及营养状况指标进行比较。结果干预1周时,观察组喂养中断率及喂养不耐受率均低于对照组(9.30%vs.30.23%,P=0.015;13.95%vs.41.86%,P=0.004);观察组喂养达标率高于对照组(83.72%vs.67.44%,P=0.041)。干预前,两组患者血清白蛋白(Alb)、血红蛋白(Hb)及转铁蛋白(TRF)水平对比无统计学差异(P>0.05);干预后1周时,观察组营养指标(Alb、Hb、TRF)水平均高于对照组(均P<0.05);观察组患者机械通气时间和ICU住院时间较对照组更短(均P<0.001)。结论基于循证护理的信息化动态管理应用在ICU患者肠内营养支持治疗中能降低喂养中断率,提高喂养达标率和耐受性,减少营养流失,缩短机械通气时间和住院时间。Objective To explore the application value of dynamic information management based on evidence nursing in enteral nutrition support(EN)for severe ICU patients.Methods All the 86 patients receiving severe EN from ICU of the First Affiliated Hospital of Xiamen University from June 2022 to June 2023 were selected as subjects,they were randomly divided into two groups:observation group and control group,with 43 cases in each group.The patients in the control group received conventional nursing care,while the patients in the observation group were given dynamic information management based on evidence nursing.The nutrition related outcomes and nutritional status indexes of the two groups were compared before and after intervention.Results After one week of intervention,the rates of feeding interruption and feeding intolerance in the observation group were lower than those in the control group(9.30%vs.30.23%,P=0.015;13.95%vs.41.86%,P=0.004).The rate of reaching the feeding standard in the observation group was significantly higher than that in the control group(83.72%vs.67.44%,P=0.041).The levels of serum albumin(Alb),hemoglobin(Hb),and transferrin(TRF)showed no significant differences(all P>0.05)between the two groups before intervention.However,after one week of intervention,the nutritional indicators(Alb,Hb,and TRF)in the observation group were significantly higher than those in the control group(all P<0.05).The duration of mechanical ventilation and ICU hospitalization time in the observation group were shorter than that in the control group(P<0.001).Conclusions The application of dynamic information management based on evidence-based nursing in enteral nutrition support for critically ill ICU patients can reduce feeding interruptions,improve the rate of feeding standard and tolerance,reduce nutritional loss,and shorten mechanical ventilation and hospitalization time.

关 键 词：重症患者 肠内营养支持 循证护理 信息化动态管理 

分 类 号：R473.5[医药卫生—护理学]