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Open Access Article

Journal of Modern Nursing Medicine. 2023; 2: (1) ; 184-186 ; DOI: 10.12208/j.jmnm.202300062.

Evaluation of the effect of the enteral nutrition care team in reducing the risk of aspiration in severe patientsin the neurology department
肠内营养护理小组在降低神经内科重症患者误吸风险中的效果评价

作者: 张雯凌 *, 陈星

川北医学院附属医院神经内科 四川南充

*通讯作者: 张雯凌,单位:川北医学院附属医院神经内科 四川南充;

发布时间: 2023-03-10 总浏览量: 252

摘要

目的 评价在神经内科重症患者中开展肠内营养护理小组对降低其误吸风险的效果。方法 随机筛选 我院神经内科接收的重症患者 80 例,将入选的所有患者以随机数字表法分成观察组与对照组各有 40 例,两组患 者均接受肠内营养支持干预,同时给予对照组患者常规护理管理,观察组开展肠内营养护理管理小组,对比两组 护理管理效果。结果 护理管理后两组结果比较显示,观察组护理管理质量、护士对误吸知识掌握度、规范化操 作率与对照组相比显著提高,患者误吸发生率及胃潴留发生率低于对照组,患者喂养达标率高于对照组,患者机 体营养指标改善效果优于对照组,(P<0.05)。结论 对神经内科重症患者开展肠内营养护理小组干预,可有效 提高临床护理服务质量以及护理人员对营养支持管理综合能力,减少患者误吸和胃潴瘤并发症发生率,从而提高 肠内营养喂养达标率,改善患者的机体营养状态,促进患者疾病治疗效率。

关键词: 神经内科重症;误吸风险;肠内营养护理小组;效果评价

Abstract

Objective To evaluate the effect of developing the enteral nutrition care team in the severe neurology department patients on reducing the risk of aspiration. Method random screening my hospital neurology to receive 80 severe patients, will be selected all patients with random digital table into observation group and control group has 40 cases, both groups of patients accept intestinal nutrition support intervention, while giving the control group patients routine care management, observation group of enteral nutrition care management group, compare the two groups of nursing management effect.
Results nursing management after the two groups of results show, observation group nursing management quality, nurses to aspiration knowledge, standardized operation rate is significantly improved compared with the control group, patients with aspiration incidence and gastric retention incidence is lower than the control group, patients feeding success rate is higher than the control group, patient body nutrition index improvement effect is better than the control group, (P <0.05).
Conclusion   in neurology severe patients with enteral nutrition care group intervention, can effectively improve the quality of clinical nursing services and nursing staff to nutrition support management comprehensive ability, reduce the incidence of aspiration and gastric retention complications, thus improve the enteral nutrition feeding success rate, improve the patient's body nutrition state, promote the efficiency of disease treatment in patients.

Key words: Neurology department; aspiration risk; enteral nutrition care team; effect evaluation

参考文献 References

[1] 王颖,付红.肠内营养护理小组在降低神经内科重症患者误吸风险中的作用[J].当代护士(上旬刊),2018,25(3):32-34.

[2] 尹燕菊.神经内科危重症患者肠内营养的护理效果观察[J].当代护士(下旬刊),2020,27(4):33-35.

[3] 韩立珍,赵佳,王娣.神经内科重症患者肠内营养的护理探讨[J].中国社区医师,2019,35(35):155+157.

[4] 王春燕,罗志华.肠内营养支持护理在神经外科重症患者中的应用[J].国际护理学杂志,2020,39(10):1887-1889.

[5] 王云.神经外科危重患者早期肠内营养支持和专项护理效果分析[J].饮食保健,2019,6(4):192-193.

[6] 翟德弟.神经外科重症病人早期肠内营养支持的治疗和护理分析[J].中国保健营养,2020,30(19):202-203.

[7] 叶凯丽,黄可静,叶娉,等.基于肠内营养小组运作规范化护理路径在神经重症患者中的应用价值[J].中国现代医生,2021,59(2):159-164+168.

[8] 丁娟,张凤勤,付文芳,等.提高神经外科重症患者肠内营养耐受性的循证护理实践[J].中华急危重症护理杂志,2020,1(2):156-160.

引用本文

张雯凌, 陈星, 肠内营养护理小组在降低神经内科重症患者误吸风险中的效果评价[J]. 现代护理医学杂志, 2023; 2: (1) : 184-186.