Observation on the effect of cluster nursing on preventing enteral nutritional feeding insufficiency in critically illpatients in intensive care Department
集束化护理预防重症医学科危重症患者肠内营养喂养不足的效果观察

摘要

目的 研究集束化护理用于预防重症医学科危重症患者肠内营养喂养不足的应用效果。方法 选择 2022 年 3 月至 2023 年 3 月期间在我院重症医学科接受治疗的 72 例患者，36 例列为对照组实施常规护理，另 36 例列为观察组实施集束化护理。比较两组护理效果。结果 在接受肠内营养后，对照组血清总蛋白、白蛋白、前 白蛋白、血红蛋白水平出现了下降（P＜0.05），观察组则无明显变化（P＞0.05）。同时观察组并发症发生率低 于对照组（P＜0.05）。结论 对重症医学科的患者实施集束化护理可以有效预防患者出现肠内营养喂养不足的情 况，具有推广应用的价值。

Abstract

Objective To investigate the application effect of cluster nursing in the prevention of insufficient enteral nutrition feeding in critically ill patients in the Department of Critical Care Medicine.
Methods Among the 72 patients treated in the Department of Critical Care Medicine of our hospital from March 2022 to March 2023, 36 patients were included as the control group for routine nursing, and the other 36 cases were included in the observation group for cluster nursing. The outcomes of the two groups were compared.
Results After receiving enteral nutrition, the serum levels of total protein, albumin, prealbumin and hemoglobin decreased in the control group (P<0.05), but there was no significant change in the observation group (P>0.05). At the same time, the complication rate in the observation group was lower than that in the control group (P<0.05).
Conclusion   The implementation of bundled nursing for patients in intensive care medicine can effectively prevent insufficient enteral nutrition feeding in patients, and has the value of promotion and application.