基于循证理念的集束化护理在ICU重症肺炎患者肠内营养制剂治疗期间的效果  

Effect of Evidence-based Cluster Nursing During Enteral Nutrition Therapy in ICU Patients with Severe Pneumonia

作　　者：陶艺烙 曲瑞杰 荆婵 TAO Yilao;QU Ruijie;JING Chan(Infection Disease ICU,Public Health Center,Zhengzhou University People's Hospital,Henan Provincial People's Hospital,Zhengzhou 450003,Henan,China)

机构地区：[1]河南省人民医院郑州大学人民医院公共卫生中心感染ICU,河南郑州450003

出　　处：《中国药物滥用防治杂志》2025年第2期366-368,372,共4页Chinese Journal of Drug Abuse Prevention and Treatment

基　　金：河南省医学科技攻关计划联合共建项目(编号:LHGJ20210006);中华医学会护理学科研究课题(编号:CMAPHNRD2022013)。

摘　　要：目的:探讨基于循证理念的集束化护理在重症监护室(ICU)重症肺炎患者肠内营养制剂治疗期间的效果。方法:选取2023年3月—2024年3月我院ICU重症肺炎患者80例,按随机数字表法分为对照组(肠内营养制剂治疗期间实施常规护理,n=40)和观察组(肠内营养制剂治疗期间实施基于循证理念的集束化护理,n=40)。比较两组肠内营养摄入情况、喂养不耐受情况、营养状况[白蛋白(ALB)、前白蛋白(PAB)、血红蛋白(Hb)]及康复情况。结果:干预7 d、干预14 d时,观察组肠内营养摄入高于对照组(P<0.05);观察组腹胀发生率低于对照组,机械通气时间、ICU住院时间短于对照组(P<0.05);两组干预后ALB、PAB、Hb高于干预前,且观察组高于对照组(P<0.05)。结论:在ICU重症肺炎机械通气患者肠内营养制剂治疗期间实施基于循证理念的集束化护理可改善患者肠内营养摄入情况和营养状况,降低喂养不耐受发生风险,促进患者尽快康复。Objective:To explore the effect of evidence-based cluster nursing during enteral nutrition therapy in critically ill pneumonia patients in the intensive care unit(ICU).Methods:A total of 80 patients with severe pneumonia in our ICU from March 2023 to March 2024 were selected and randomly divided into a control group(receiving routine nursing during enteral nutrition treatment,n=40)and an observation group(receiving evidence-based cluster nursing during enteral nutrition treatment,n=40).The enteral nutrition intake,feeding intolerance,nutritional status[albumin(ALB),prealbumin(PAB),hemoglobin(Hb)],and rehabilitation status were compared between the two groups.Results:At 7 days and 14 days of intervention,the enteral nutrition intake of the observation group was higher than that of the control group(P<0.05).the incidence of abdominal distension in the observation group was lower than that in the control group,and the mechanical ventilation time and ICU hospitalization time were shorter than those in the control group(P<0.05).After intervention,ALB,PAB and Hb in the two groups were higher than those before intervention,and those in the observation group were higher than those in the control group(P<0.05).Conclusion:During the treatment of enteral nutrition preparations in ICU patients with severe pneumonia mechanical ventilation,evidence-based cluster nursing can improve the enteral nutrition intake and nutritional status of patients,reduce the risk of feeding intolerance,and promote the recovery of patients as soon as possible.

关 键 词：重症监护室 重症肺炎 机械通气 肠内营养制剂 基于循证理念的集束化护理 

分 类 号：R473.5[医药卫生—护理学]