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集束化护理联合早期肠内营养干预对重度颅脑损伤术后患者的影响

The effect of cluster nursing combined with early enteral nutrition intervention in postoperative severe craniocerebral injury.

作者信息

Chen Rehua, Wan Jin, Li Juanjuan, Tu Yaoran

机构信息

Department of Nursing, Nanchang First Hospital, Nanchang, Jiangxi, 330008, China.

Emergency and Trauma Center, Nanchang First Hospital, No. 739, Qingshan South Road, Donghu District, Nanchang, Jiangxi, 330008, China.

出版信息

Langenbecks Arch Surg. 2025 Apr 28;410(1):148. doi: 10.1007/s00423-025-03699-4.

Abstract

OBJECTIVE

The purpose of this paper was to probe the application effect of cluster nursing combined with early enteral nutrition (EEN) intervention in the postoperative period of severe craniocerebral injury (SCI).

METHODS

This study was a prospective study. The 74 patients with postoperative SCI were randomly divided into the control group and the study group (37 cases each). The patients in the control group were given routine nursing and parenteral nutritional support, and the patients in the study group received cluster nursing and EEN support treatment. Patients' nutritional status, neurological function recovery, psychological status, activity of daily living (ADL), and quality of life were assessed, and the occurrence of complications during the intervention period was recorded in both groups.

RESULTS

After the intervention, compared to the control group, the serum total protein, albumin, and transferrin levels of the study group were higher; the National Institutes of Health Stroke Scale scores of the study group were lower; the self-rating anxiety scale and the self-rating depression scale scores of the study group were lower; the ADL scores of the study group were higher; and the 36-item short-form health survey scores of the study group were higher (P < 0.05). The total complication rate of the study group was lower than that of the control group (P < 0.05).

CONCLUSION

The combination of cluster nursing and ENN intervention can improve the nutritional status of postoperative patients with SCI, facilitate the recovery of neurological function, alleviate adverse psychology, enhance ADL, ameliorate the quality of life, and reduce the occurrence of complications.

摘要

目的

探讨集束化护理联合早期肠内营养(EEN)干预在重型颅脑损伤(SCI)术后的应用效果。

方法

本研究为前瞻性研究。将74例SCI术后患者随机分为对照组和研究组,每组37例。对照组患者给予常规护理及肠外营养支持,研究组患者接受集束化护理及EEN支持治疗。评估患者的营养状况、神经功能恢复情况、心理状态、日常生活活动能力(ADL)及生活质量,并记录两组干预期间并发症的发生情况。

结果

干预后,研究组血清总蛋白、白蛋白及转铁蛋白水平高于对照组;研究组美国国立卫生研究院卒中量表评分低于对照组;研究组自评焦虑量表及自评抑郁量表评分低于对照组;研究组ADL评分高于对照组;研究组36条目简明健康调查量表评分高于对照组(P<0.05)。研究组总并发症发生率低于对照组(P<0.05)。

结论

集束化护理与ENN干预相结合可改善SCI术后患者营养状况,促进神经功能恢复,缓解不良心理,提高ADL,改善生活质量,降低并发症的发生。

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