基于循证的集束化护理方案在ECMO患者肠内营养护理中的应用效果分析  

Analysis of the Application Effects of an Evidence-Based Bundled Nursing Program in Enteral Nutrition Care for ECMO Patients

作　　者：王玉光 裴永菊[1] 时新萍 刘玉荣[1] WANG Yuguang;PEI Yongju;SHI Xinping;LIU Yurong(Western Area of Respiratory Critical Care,Henan Provincial People's Hospital,Zhengzhou Henan 450003,China)

机构地区：[1]河南省人民医院呼吸重症西区,河南郑州450003

出　　处：《临床研究》2025年第3期174-177,共4页Clinical Research

摘　　要：目的探究采取体外膜肺氧合支持技术(ECMO)治疗的患者肠内营养护理中接受基于循证的集束化护理方案的应用效果。方法选择河南省人民医院2023年1月至2023年12月收治的94例接受ECMO治疗的患者作为本次研究对象,根据随机数字表法分为对照组(47例,常规护理)与研究组(47例,基于循证的集束化护理方案),对比分析两组护理效果。结果研究组ECMO辅助时间、入住重症监护室时间、机械通气时间、住院时间均短于对照组,差异有统计学意义(P<0.05)。护理前,两组白蛋白与肠内营养素耐受性评分比较,差异无统计学意义(P>0.05),护理后,两组白蛋白水平均升高,肠内营养素耐受性评分均降低,且研究组白蛋白水平高于对照组,肠内营养素耐受性评分低于对照组;研究组肠内营养达标时间短于对照组,差异有统计学意义(P<0.05)。护理前,两组SAS与SDS评分比较,差异无统计学意义(P>0.05),护理后,两组SAS与SDS评分均降低,且研究组低于对照组,差异有统计学意义(P<0.05)。研究组并发症发生率(2.13%)低于对照组(12.78%),差异有统计学意义(P<0.05)。结论在ECMO患者肠内营养护理中加入基于循证的集束化护理方案可有效缩短患者临床指标时间与肠内营养达标时间,提高白蛋白水平、改善肠内营养指标与心理状态,减少并发症,具有临床参考意义。Objective To explore the application effects of an evidence-based bundled nursing program in enteral nutrition care for patients receiving extracorporeal membrane oxygenation(ECMO).Methods A total of 94 patients treated with ECMO at Henan Provincial People's Hospital from January 2023 to December 2023 were selected as study subjects.They were randomly divided into a control group(n=47,routine care)and a study group(n=47,evidence-based bundled nursing program).The nursing effects of both groups were compared and analyzed.Results The ECMO support time,duration of intensive care unit(ICU)stay,mechanical ventilation time,and hospitalization time in the study group were all shorter than those in the control group,with statistical significance(P<0.05).Before nursing,there was no statistically significant difference in serum albumin and enteral nutrition tolerance scores between the two groups(P>0.05).After nursing,both groups showed an increase in serum albumin levels and a decrease in enteral nutrition tolerance scores;however,the study group had higher levels of albumin and lower tolerance scores compared to the control group.The time to achieve enteral nutrition standards in the study group was shorter than that in the control group,with statistical significance(P<0.05).Prior to nursing,SAS and SDS scores were similar between the two groups(P>0.05);after nursing,both groups showed a decrease in SAS and SDS scores,with the study group scoring lower than the control group,demonstrating statistical significance(P<0.05).The incidence of complications in the study group was 2.13%,significantly lower than 12.78%in the control group(P<0.05).Conclusion Incorporating an evidencebased bundled nursing program into enteral nutrition care for ECMO patients can effectively shorten the time of clinical indicators and time to achieve enteral nutrition standards,increase serum albumin levels,improve enteral nutrition metrics and psychological status,and reduce complications,thereby providing significant clinical reference.

关 键 词：体外膜肺氧合支持技术 循证 集束化护理 肠内营养护理 

分 类 号：R473[医药卫生—护理学]