Nursing care of combined application of nasogastric tube and naso intestinal tubein severe patients in neurosurgery
鼻胃管与鼻肠管在神经外科重症患者中联合应用的护理

摘要

目的 鼻胃管与鼻肠管在神经外科重症患者中联合应用的护理。方法 于2021.4月至2022.4月选择80例就诊于我院神经外科的重症病人进行调研，参与本次调研病人在治疗期间均留置导管。根据导管留置护理方式，将其归纳为2组，每组均纳入40例病人。按照护理方式，将其命名为常规组与联合组。常规组采用常规护理，联合组则在联合常规护理基础上采用鼻胃管与鼻肠管针对性护理。总结与探究2种方案实施效果。结果 （1）常规组意外拔管发生率为20%，联合组意外拔管发生率为2.5%，两组相比常规组意外拔管发生率较高，反之较低，两组对照，差异明显，（P<0.05）。（2）常规组护理满意评分结果与联合组护理满意评分结果对照，常规组护理满意评分结果低、联合组护理满意评分结果高，两组对照，差异明显，（P<0.05）。结论 神经外科重症病人鼻胃管与鼻肠管护理中，在传统常规护理基础上联合针对性护理干预方案实施效果优异，此方案值得应用与普及。

Abstract

Objective To explore the nursing care of nasogastric tube and naso intestinal tube in severe neurosurgical patients
Methods from April 2021 to April 2022, 80 critically ill patients in neurosurgery of our hospital were selected for investigation. All patients who participated in this investigation had indwelling catheters during treatment. According to the nursing mode of catheter indwelling, they were divided into two groups, with 40 patients in each group. According to the nursing mode, it was named routine group and combined group. The routine group adopted routine nursing, while the combined group adopted targeted nursing of nasogastric tube and naso intestinal tube on the basis of combined routine nursing. Summarize and explore the implementation effects of the two schemes.
Results (1) the incidence of accidental extubation in the routine group was 20%, and that in the combined group was 2.5%. Compared with the routine group, the incidence of accidental extubation in the two groups was higher, on the contrary, it was lower. There was significant difference between the two groups (P < 0.05). (2) The nursing satisfaction score results of the routine group were compared with those of the combined group. The nursing satisfaction score results of the routine group were lower and those of the combined group were higher. There was significant difference between the two groups (P < 0.05).
Conclusion   in the nursing of nasogastric tube and nasogastric tube for severe patients in neurosurgery, the implementation effect of combined targeted nursing intervention scheme based on traditional routine nursing is excellent. This scheme is worthy of application and popularization.