摘要
目的观察集束化护理干预在重症脑卒中肠内营养相关性腹泻护理中的应用效果。方法选取郑州大学第一附属医院2017年2月—2018年3月收治的84例重症脑卒中患者,均行肠内营养治疗,按照入院顺序单双号分为两组,各42例,对照组予以常规护理,观察组在其基础上予以集束化护理,比较2组营养相关性腹泻发生率、腹泻恢复时间、机械通气时间、住ICU时间、不良事件情况及护理满意度。结果观察组营养相关性腹泻发生率为9.52%,明显低于对照组的30.95%(P<0.05);观察组不良事件总发生率为11.90%,低于对照组的38.10%(P<0.05);观察组腹泻恢复时间、机械通气时间及住ICU时间均明显短于对照组(P<0.05),且护理满意度情况明显优于对照组(P<0.05)。结论集束化护理可有效降低重症脑卒中患者肠内营养相关性腹泻发生率,减少不良事件风险,缩短康复进程,获得患者满意。
Objective To observe the application effect of cluster nursing intervention in the nursing of severe stroke enteral nutrition related diarrhea.Methods 84 patients with severe stroke admitted to the First Affiliated Hospital of Zhengzhou University from February 2017 to March 2018 were selected,they were divided into 2 groups,42 cases in each group.The control group was given routine nursing.On this basis,the observation group was given cluster nursing.The incidence of nutrition-related diarrhea,recovery time of diarrhea,mechanical ventilation time,time in ICU,adverse events and satisfaction with nursing of the two groups were compared.Results The incidence of nutrition-related diarrhea in the observation group was significantly lower than that in the control group(9.52%vs 30.95%)(P<0.05).The total incidence of adverse events in the observation group was lower than that in the control group(11.90%vs 38.10%)(P<0.05).The recovery time of diarrhea,mechanical ventilation time and time in ICU were significantly shorter than those in the control group(P<0.05).The satisfaction with nursing was significantly better than that in the control group(P<0.05).Conclusion Cluster nursing can effectively reduce the incidence of enteral nutrition-related diarrhea in patients with severe stroke,reduce the risk of adverse events,shorten the recovery process,which can obtain patients’satisfaction.
作者
孔羽
KONG Yu(The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)
出处
《中国全科医学》
CAS
北大核心
2019年第S02期191-193,共3页
Chinese General Practice
关键词
肠道营养
集束化护理
卒中
腹泻
Enteral Nutrition
Cluster nursing
Stroke
Enteral nutrition
Diarrhea
