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Open Access Article

Contemporary Nursing. 2023; 4: (6) ; 35-37 ; DOI: 10.12208/j.cn.20230275.

Effect of enteral nutrition safety nursing plan on critically ill patients
肠内营养安全护理方案对危重症患者的影响

作者: 周晓静 *

上海天佑医院 上海

*通讯作者: 周晓静,单位:上海天佑医院 上海;

发布时间: 2023-06-18 总浏览量: 168

摘要

目的 探究对危重症患者,实施肠内营养安全护理方案,对患者产生的影响及作用。方法 从2022年9月-2022年12月我院收治的危重症患者中,随机挑选出82例作为研究对象,分为对照组(41例,常规肠内营养护理)与观察组(41例,肠内营养安全护理方案),比较两组护理效果。结果 观察组干预后血红蛋白(Hb)、白蛋白(ALB)、转铁蛋白(TF)高于对照组,观察组干预后营养风险筛查评分(NRS2002)评分及急性生理与慢性健康(APACHEⅡ)评分均低于对照组,观察组机械通气时间、ICU入住时间以及住院时间均少于对照组,差异具备显著性(P<0.05)。结论 开展肠内营养安全护理方案,有助于改善危重症患者营养水平,减少治疗时间,降低营养风险,值得推广。

关键词: 肠内营养;安全护理;危重症;护理效果

Abstract

Objective To explore the impact and role of the implementation of enteral nutrition safety nursing plan for critically ill patients.
Methods From September 2022 to December 2022, 82 critically ill patients admitted to our hospital were randomly selected as study subjects, which were divided into control group (41 cases, routine enteral nutrition nursing) and observation group (41 cases, enteral nutrition safety nursing scheme). The nursing effects of the two groups were compared.
Results The hemoglobin (Hb), albumin (ALB) and transferrin (TF) of the observation group after intervention were higher than those of the control group. The scores of nutritional risk screening (NRS2002) and acute physiology and chronic health (APACHE II) of the observation group after intervention were lower than those of the control group. The mechanical ventilation time, ICU stay time and hospital stay time of the observation group were shorter than those of the control group, with significant differences (P<0.05).
Conclusion   Carrying out the safety nursing program of enteral nutrition is helpful to improve the nutritional level of critically ill patients, reduce the treatment time, and reduce the nutritional risk, which is worthy of promotion.

Key words: Enteral nutrition; Safety care; Critical illness; Nursing effect

参考文献 References

[1] 张丽,黄晓璐,邱珊.基于跨理论模型的集束化护理对胃肠道肿瘤患者术后肠内营养耐受性的影响[J].海军医学杂志,2022,43(10):1168-1172.

[2] 佘会,崔霞,许勤勤,等.危重症患者早期肠内营养对营养指标、免疫功能、肠道损伤及并发症的影响[J].海军医学杂志,2022,43(07):727-731.

[3] 朱丽丽,蔡金峃.体位指导联合肠内营养干预在颅脑损伤患者中的应用效果及对营养状态的影响研究[J].山西医药杂志,2022,51(09):1071-1073.

[4] 朱琳,潘强,鲍冠君,等.内镜辅助下早期肠内营养对重症高血压脑出血患者免疫功能和炎症反应的影响[J].广东医学,2022,43(03):362-366.

[5] 何慧梅,阮兆娟,李丽凤,等.不同肠内营养支持方案对2型糖尿病并发急性脑卒中患者肠黏膜屏障功能和Th17/Treg免疫应答平衡的影响[J].现代生物医学进展,2022,22(04):698-701.

[6] 肖剑辉,刘作良,王琴,等.早期肠内营养联合微生态制剂对重症急性胰腺炎患者的临床疗效及其对免疫功能的影响[J].中国微生态学杂志,2022,34(02):195-200.

[7] 李凡,张伟令,任卫山,等.肠内营养支持对恶性实体肿瘤患儿围化疗期血液系统并发症的影响研究[J].中华全科医师杂志,2022,21(02):154-160.

[8] 叶向红,宫雪梅,薛阳阳.早期肠内营养护理方案对重症病人热卡达标率及喂养不耐受的前后对照研究[J].肠外与肠内营养,2021,28(04):230-235.

[9] 吴尘乐,古思奇,肖秋蓉.营养支持干预时机在伴急性胃损伤的心内科危重症患者中的应用效果及对胃肠功能的影响研究[J].山西医药杂志,2021,50(09):1440-1442.

[10] 金晓琳,张丽娜,周秀珍,等.益生菌联合膳食纤维的肠内营养对重型颅脑损伤患者术后营养状况、免疫功能和肠黏膜屏障功能的影响[J].现代生物医学进展, 2021, 21(08): 1498-1501.

引用本文

周晓静, 肠内营养安全护理方案对危重症患者的影响[J]. 当代护理, 2023; 4: (6) : 35-37.