摘要
目的探讨SIBR模式对脑卒中经鼻胃管肠内营养患者腹泻及营养状况的影响。方法采用便利抽样法,选取太原市中心医院2021年2—9月收治的117例经鼻胃管肠内营养卒中患者作为研究对象,按入院时所在的病区分为对照组57例和干预组60例。对照组实施常规肠内营养干预,干预组实施SIBR模式的肠内营养干预。比较两组患者住院期间腹泻及失禁性皮炎发生情况,治疗前、营养治疗第7天、第14天营养指标的变化情况、住院期间并发症的发生率以及住院时间。结果干预组患者的腹泻发生率、持续时间、严重程度以及失禁性皮炎的发生率均低于对照组,便秘、胃潴留、肺部感染发生率低于对照组,住院天数少于对照组,差异均有统计学意义(P<0.05);营养治疗14 d后,干预组患者的白蛋白、总蛋白及血红蛋白水平均优于对照组,差异均有统计学意义(P<0.05)。结论SIBR模式将查房内容进行整合,缩短了查房时间,提高了工作效率,有效降低了脑卒中经鼻胃管肠内营养患者腹泻及失禁性皮炎的发生率,改善了患者的营养状况,降低了并发症的发生率,缩短了住院时间。
Objective To explore the effect of structured interdisciplinary bedside rounds(SIBR)model on diarrhea and nutritional status in patients with stroke receiving enteral nutrition through nasogastric tube.Methods From February to September 2021,117 stroke patients with enteral nutrition through nasogastric tube admitted to Taiyuan Central Hospital were selected as the study subject by convenient sampling.The patients were divided into the control group(57 cases)and the intervention group(60 cases)according to the ward at the time of admission.The control group received routine enteral nutrition intervention,and the intervention group carried out enteral nutrition intervention based on SIBR model.The incidence of diarrhea and incontinence dermatitis during hospitalization,the nutritional indicators before treatment and on the seventh and fourteenth days of nutritional treatment,the incidence of complications during hospitalization and the length of hospitalization were compared between the two groups.Results The incidence,duration,severity of diarrhea and the incidence of incontinence dermatitis in the intervention group were lower than those in the control group,and the incidence of constipation,gastric retention and pulmonary infection were lower than those in the control group,and the length of hospitalization was less than that in the control group,and the differences were statistically significant(P<0.05).After 14 days of nutritional treatment,the albumin,total protein and hemoglobin in the intervention group were better than those in the control group,with statistical differences(P<0.05).Conclusions SIBR model integrates the content of ward round,shortens the time of ward round,increases the work efficiency,effectively reduces the incidence of diarrhea and incontinence dermatitis in patients with stroke receiving enteral nutrition through nasogastric tube,improves the nutritional status of patients,reduces the incidence of complications,and shortens the length of hospitalization.
作者
赵娅欣
赵临凯
杜欣洁
贺润莲
Zhao Yaxin;Zhao Linkai;Du Xinjie;He Runlian(School of Nursing,Shanxi Medical University,Taiyuan 030001,China;School of Public Health,Shanxi Medical University,Taiyuan 030001,China;Nursing Department,Taiyuan Central Hospital,Taiyuan 030009,China)
出处
《中华现代护理杂志》
2022年第31期4382-4387,共6页
Chinese Journal of Modern Nursing
基金
山西省科技厅软科学项目(2018041028-5)
山西省卫生计生委科研课题(2018GW11)。
关键词
卒中
肠内营养
多学科结构化床旁查房
腹泻
营养状况
Stroke
Enteral nutrition
Interdisciplinary structured bedside rounds
Diarrhea
Nutritional status
