摘要
目的探究肠内营养耐受性评估表联合循证护理在预防重症患者长期肠内营养不耐受中的应用效果。方法便利选取2023年4—10月如东县人民医院重症监护室所收治的108例重症患者作为研究对象,根据不同护理方法分成对照组与研究组,各54例。对照组行常规营养支持与护理,研究组行循证护理联合肠内营养耐受性评估表。观察两组肠内营养耐受评估结果、体格指标的变化、不良反应发生率。结果护理1个月、3个月,研究组肠内营养耐受评估结果优于对照组,差异有统计学意义(P均<0.05);研究组护理后的体重指数、臂肌围均高于对照组,差异有统计学意义(P均<0.05);研究组不良反应总发生率为7.41%(4/54),低于对照组的22.22%(12/54),差异有统计学意义(χ^(2)=4.696,P<0.05)。结论肠内营养耐受性评估表联合循证护理能够强化重症患者的肠内营养耐受性,具有临床借鉴意义。
Objective To explore the application effect of enteral nutrition tolerance assessment scale combined with evidence-based nursing in preventing long-term enteral nutrition intolerance in critically ill patients.Methods A total of 108 critically ill patients admitted to the intensive care unit of Rudong County People's Hospital from April to Octo⁃ber 2023 were conveniently selected as the research objects.According to different nursing methods,they were di⁃vided into control group and study group,54 cases in each group.The control group received routine nutritional sup⁃port and nursing,and the study group received evidence-based nursing combined with enteral nutrition tolerance as⁃sessment form.The evaluation results of enteral nutrition tolerance,the changes of physical indexes and the incidence of adverse reactions were observed in the two groups.Results After 1 month and 3 months of nursing,the evaluation results of enteral nutrition tolerance in the study group were better than those in the control group,and the differences were statistically significant(both P<0.05).The body mass index and arm muscle circumference of the study group af⁃ter nursing were higher than those of the control group,and the differences were statistically significant(both P<0.05).The total incidence of adverse reactions in the study group was 7.41%(4/54),which was lower than 22.22%(12/54)in the control group,and the difference was statistically significant(χ^(2)=4.696,P<0.05).Conclusion The enteral nutrition tolerance assessment scale combined with evidence-based nursing can strengthen the enteral nutrition tolerance of critically ill patients,which has clinical reference significance.
作者
耿荣辉
姜玲玲
纪晶
蔡素萍
蒋丽丽
GENG Ronghui;JIANG Lingling;JI Jing;CAI Suping;JIANG Lili(Department of Nursing,Rudong County People's Hospital,Rudong,Jiangsu,226400,China)
出处
《中外医疗》
2024年第29期154-157,共4页
China & Foreign Medical Treatment
关键词
肠内营养耐受性
循证护理
营养液
Enteral nutrition tolerance
Evidence-based nursing
Nutrient solution
