Prevention and Nursing of Complications of Nasal Feeding Patients in Respiratory ICU
呼吸ICU中鼻饲患者并发症的预防及其护理

摘要

目的 对呼吸ICU中鼻饲患者常见并发症及其原因进行分析，并研究对应的护理方案，以期能够为护理人员开展工作提供一些参考。方法 本次实验时间为2018年1月-2020年1月，实验对象为本院呼吸ICU中鼻饲患者，实验人数共计86人，依据患者住院时间将所选患者分为甲乙两组，两组患者人数一致，每组43例患者。护理人员在实验过程中通过常规鼻饲护理手段对甲组患者进行护理，通过针对性鼻饲护理手段对乙组患者进行护理，对比和分析两组患者并发症出现情况、住院时间及护理满意情况。结果 在并发症出现几率方面，乙组患者明显低于甲组患者，甲组并发症出现几率为23.26%，乙组并发症出现几率为4.65%，并发症出现几率方面表现出较大差异，数据呈现统计学意义（p＜0.05）；在住院时间方面，乙组患者明显短于甲组患者，甲组患者住院时间为（12.41±1.44）天，乙组患者住院时间为（9.13±1.15）天，住院时间方面表现出较大差异，数据呈现统计学意义（p＜0.05）；在护理满意情况方面，乙组患者明显高于甲组患者，甲组患者护理满意度为72.09%，乙组患者护理满意度为93.02%，护理满意度方面表现出较大差异，数据呈现统计学意义（p＜0.05）。结论 相比常规鼻饲护理，针对性鼻饲护理在呼吸ICU鼻饲患者护理中应用效果更好，其能够在一定程度上减少并发症的出现，缩短患者的住院时间，促进患者护理满意度的提升，具有较高的临床应用价值。

Abstract

Objective: To analyze the common complications and causes of nasal feeding patients in respiratory ICU, and study the corresponding nursing plan, in order to provide some reference for the nurses to carry out their work.
Methods: The duration of this experiment was from January 2018 to January 2020. The subject of the experiment was a patient with nasal feeding in the respiratory ICU of this hospital. The total number of the experiment was 86. The selected patients were divided into two groups according to the hospital stay. The number of patients was the same, with 43 patients in each group. During the experiment, the nursing staff took care of the patients in Group A through conventional nasal feeding nursing methods, and took care of the patients in Group B through targeted nasal feeding nursing methods. They compared and analyzed the occurrence of complications, hospitalization time and nursing satisfaction of the two groups of patients.
Results: In terms of the probability of complications, the patients in group B were significantly lower than those in group A. The probability of complications in group A was 23.26%, while group B was 4.65%, and the probability of complications showed a large difference. The data showed statistical significance (p <0.05); in terms of hospitalization time, the patients in group B were significantly shorter than those in group A. The hospitalization time of group A was (12.41 ± 1.44) days, and group B was (9.13 ± 1.15) days, the length of hospitalization showed a big difference, the data showed statistical significance (p <0.05); in terms of nursing satisfaction, the patients in group B were significantly higher than those in group A, the satisfaction of patients in group A was 72.09%, and group B was 93.02%, and there was a big difference in nursing satisfaction. The data showed statistical significance (p <0.05).
Conclusion  : Compared with conventional nasal feeding nursing, targeted nasal feeding nursing has better application effect in the nursing of respiratory ICU nasal feeding patients. It can reduce the occurrence of complications to a certain extent, shorten the hospitalization time of patients, and promote the improvement of patient satisfaction. It has high clinical application value.