摘要
目的观察集束化护理干预对脑卒中患者胃肠功能障碍和营养状况的影响。方法按照自愿原则对2012年7月～2013年8月于中山市三乡医院（以下简称“我院”）住院的86例脑卒中患者（干预组）采取为期2周的集束化护理干预,选择2011年3月～2012年6月于我院采取常规护理措施的83例同类患者作为对照组，比较两组的胃肠功能障碍及营养状况的变化，包括恶心呕吐、腹胀、腹痛、腹泻、便秘发生率及血红蛋白、血清白蛋自、前蛋白水平等。结果干预后，干预组恶心呕吐、腹胀、腹痛、腹泻、便秘等胃肠功能障碍发生率均显著低于对照组（15％比31％．23％比42％，17％比28％，8％比21％，20％比35％），差异有统计学差异（P=0．004、0．001、0．040、0．006、0．009）；干预组血红蛋白、血清白蛋白、前蛋白等营养状况指标显著高于对照组[（95．3±10．8）g／L比（90．7±11．3）g／L，（32．4±7．8）g／L比（28．1±8．2）g／L，（253．7±27．3）mg／L比（221．5±28．7）mg／L]，差异有高度统计学（P=0．008、0．00l、0．000）。结论集束化护理干预可有效改善脑卒中患者胃肠功能障碍及营养状况，改善卒中患者的预后。
Objective To investigate the influence of cluster-based nursing intervention on the gastrointestinal dys- function and nutritional status of patients with stroke. Methods In accordance with the principle of voluntary, 86 cases with stroke （intervention group） were given cluster-based nursing for 2 weeks in Sanxiang Hospital of Zhongshan City （＂our hospital＂ for short） from July 2012 to August 2013. 83 cases with stroke （control group） were given conventional nursing measures in our hospital from March 2011 to June 2012. The gastrointestinal dysfunction and the nutritional status, including nausea and vomiting, abdominal distension, abdominal pain, diarrhea, constipation and levels of＂ hemoglobin, serum albumin, former protein between the two groups were compared. Results After intervention, the nau- sea and vomiting, abdominal distension, abdominal pain, diarrhea, constipation in the intervention group were signifi- cantly lower than the control group （15% vs 31%, 23% vs 42%, 17% vs 28%, 8% vs 21%, 20% vs 35%）, there were significantly differences （P = 0.004, 0.001, 0.040, 0.006, 0.009）. Indexes of nutritional status, including levels of hemoglobin, serum albumin, preprotein in intervention group were significantly higher than those in the control group [（95.3±10.8） g/L vs （90.7± 11.3） g/L, （32.4±7.8） g/L vs （28.1±8.2） g/L, （253.7±27.3） mg/L vs （221.5±28.7） mg/L], there were significantly differences （P = 0.008, 0.001, 0.000）. Conclusion Cluster-based nursing intervention can effectively ameliorate gastrointestinal dysfunction and nutritional status of patients with stroke, improve prognosis of patients.
出处
《中国医药导报》
CAS
2014年第17期117-120,共4页
China Medical Herald
基金
广东省中山市医学科研基金项目(编号2013J290)
关键词
脑卒中
集束化护理
胃肠功能障碍
营养状况
Stroke
Cluster nursing intervention
Gastrointestinal dysfunction
Nutritional status
