Effect analysis of evidence-based nursing on blind insertion of spiral nasoenteric tube at bedside in criticallyill ICU patients
循证护理在 ICU 危重症患者床旁盲插螺旋形鼻肠管中的效果分析

摘要

目的 分析循证护理应用于 ICU 危重症患者行床旁盲插螺旋形鼻肠管管理中的临床效果。方法 病例选取为 2020 年 9 月-2022 年 9 月期间在我医院 ICU 接受治疗的危重症患者 60 例,通过电脑随机选取方 式将入选的病例分成观察组和对照组各有 30 例，组间患者均接受床旁盲插鼻肠管，治疗期间对照组患者采 取常规护理管理，观察组患者开展循证护理干预，详细对比两组护理效果。结果 两组最终护理结果对比发 现，观察组护理管理质量和患者依从性与对照组相比显著提升，护理不良事件发生率以及并发症发生率与 对照组相比明显降低，最终患者营养指标改善效果优于对照组，组间各指标结果对比均存在统计学意义（P ＜0.05）。结论 通过开展循证护理可有效提升临床对 ICU 危重症患者行床旁盲插螺旋形鼻肠管的护理管理 质量，增强患者治疗期间的身心舒适度，提高患者配合度，减少护理不良事件和并发症发生，改善患者的 机体营养状况，提高疾病控制效果。

Abstract

Objective To analyze the clinical effect of evidence-based nursing in ICU patients undergoing blind bedside spiral nasoenteric tube management.
Methods The selected cases were 60 critically ill patients who received treatment in ICU of our hospital from September 2020 to September 2022. The selected cases were randomly selected by computer and divided into observation group and control group, with 30 cases in each group. Patients in each group received blind naso-intestinal tube insertion by bed, and patients in control group received routine nursing management during treatment. The observation group carried out evidence-based nursing intervention, and the nursing effect of the two groups was compared in detail.
Results The comparison of the final nursing results between the two groups showed that the nursing management quality and patient compliance in the observation group were significantly improved compared with the control group, the incidence of nursing adverse events and the incidence of complications were significantly reduced compared with the control group, and the improvement effect of the final nutritional indicators of patients was better than the control group, and the results of the indicators between the groups were statistically significant (P<0.05).
Conclusion  s Evidence-based nursing can effectively improve the quality of clinical nursing management for ICU patients with bedside blind insertion of spiral nasointestinal tube, enhance the physical and mental comfort of patients during treatment, improve the degree of cooperation of patients, reduce the occurrence of adverse nursing events and complications, improve the nutritional status of patients, and improve the effect of disease control.