Clinical nursing countermeasures for patients with enteral nutrition-related diarrhea in ICU
ICU 肠内营养相关性腹泻患者临床护理对策探讨

摘要

目的 就 ICU 肠内营养（EN）相关性腹泻患者临床护理对策展开研究探讨。方法 遴选 2020 年 4 与至 2021 年 4 月于我院 ICU 行 EN 并发腹泻的 152 例患者为对象实施研究，以随机数表法作为分组方 式，将纳入对照组的 76 例患者行常规护理，另 76 例观察组患者展开循证护理，分析相应护理模式下两组 患者腹泻相关并发症发生率、ICU 住院时间以及护理满意度。结果 两组腹泻相关并发症发生率相比，对照 组水平为 23.68%，观察组水平为 7.89%，指标对比差异明显（P<0.05）；两组患者 ICU 住院时间相比，对 照组水平为（14.77±2.18）d，观察组水平为（10.29±1.96）d，指标对比差异明显（P<0.05）；两组患者护 理满意度对比，对照组水平为 80.26%，观察组水平为 93.42%，指标对比差异明显（P<0.05）。结论 ICU 行肠内营养患者有较高并发腹泻风险，在强化护理人员风险评估意识基础上，可通过循证护理从患者自身、 药物以及营养液方面进行综合分析，找出护理问题并制定相应护理干预措施，以获得更好护理效果，提升 患者肠内营养耐受性并加速其恢复。

Abstract

Objective To explore the clinical nursing countermeasures for patients with enteral nutrition (EN) related diarrhea in ICU.
Methods A total of 152 patients who underwent EN complicated with diarrhea in ICU of our hospital from April 2020 to April 2021 were selected as subjects for the study. 76 patients in the control group received routine nursing, and the other 76 patients in the observation group received evidence-based nursing, using the random number table method as grouping method. The incidence of diarrhea-related complications, length of ICU stay and nursing satisfaction in the two groups were analyzed under the corresponding nursing mode.
Results The incidence of diarrhea-related complications in the two groups was 23.68% in the control group and 7.89% in the observation group, indicating a significant difference (P< 0.05); The length of ICU stay between the two groups was (14.77±2.18) d in the control group and (10.29±1.96) d in the observation group. 0.05); The level of nursing satisfaction between the two groups was 80.26% in the control group and 93.42% in the observation group, indicating a significant difference in indicators (P< 0.05).
Conclusion   ICU patients with enteral nutrition has a higher risk of concurrent diarrhoea, on the basis of strengthening nursing staff awareness of risk assessment, but from the patient's own by evidence-based nursing, medicine and nutrient solution on comprehensive analysis, find out nursing problems and formulate the corresponding nursing intervention measures, in order to obtain a better nursing effect, improve patients with enteral nutrition tolerability and accelerate its recovery.