鼻胃管留置的危重症患者鼻饲营养护理价值研究
Study on the value of nasogastric tube nutrition nursing in critical patients with indwelling nasogastric tube.
作者信息
Zhang Li, Zhu Xiuli, He Yurong, Zhang Guiqin
机构信息
Department of Pediatrics, Jinan People's Hospital Affiliated to Shandong First Medical University Jinan, China.
Department of Neonatal, Jinan People's Hospital Affiliated to Shandong First Medical University Jinan, China.
出版信息
Am J Transl Res. 2021 Aug 15;13(8):9694-9700. eCollection 2021.
PURPOSE
To explore the application value of nasogastric tube nutrition nursing in critical patients with an indwelling nasogastric tube.
METHODS
A total of 130 patients who were hospitalized in the ICU of our hospital and retained nasogastric tubes from January 2019 to January 2020 were selected as the research subjects, and they were divided into a control group (n=65, routine nursing) and an observation group (n=65, nasogastric tube nutrition nursing) according to a random number table method. The nutrition index level, gastrointestinal complications, adverse events, Glasgow coma index (GCS) score, acute physiology and chronic health (APACHE II), and quality of life score of the two groups were compared.
RESULTS
The serum prealbumin, serum transferrin, and serum albumin after nursing were higher than those before nursing, and the observation group was higher than the control group; the observation group had lower incidence of diarrhea, constipation and gastric retention; the incidence of adverse events in the observation group was lower as well; the GCS score of the observation group after nursing was higher in comparison with the control group, while APACHE II score in the observation group was lower; the observation group had higher quality of life score as compared with the control group.
CONCLUSION
The application of nasogastric tube nutritional nursing in critical patients with an indwelling nasogastric tube has high therapeutic value and is worthy of promotion.
目的
探讨鼻饲营养护理在留置鼻胃管重症患者中的应用价值。
方法
选取2019年1月至2020年1月在我院重症监护病房住院且留置鼻胃管的130例患者作为研究对象，采用随机数字表法将其分为对照组（n = 65，常规护理）和观察组（n = 65，鼻饲营养护理）。比较两组患者的营养指标水平、胃肠道并发症、不良事件、格拉斯哥昏迷指数（GCS）评分、急性生理与慢性健康状况评分系统（APACHE II）及生活质量评分。
结果
护理后两组患者血清前白蛋白、血清转铁蛋白及血清白蛋白均高于护理前，且观察组高于对照组；观察组腹泻、便秘及胃潴留发生率更低；观察组不良事件发生率也更低；护理后观察组GCS评分高于对照组，APACHE II评分低于对照组；观察组生活质量评分高于对照组。
结论
鼻饲营养护理在留置鼻胃管重症患者中的应用具有较高的治疗价值，值得推广。
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