不同容量注射器冲管对儿科患者留置空肠营养管堵管再通的效果评价

Effects of different volume syringe on recanalization of indwelling jejunal feeding tube in pediatric patients

目的探讨运用不同容量注射器冲管对儿科患者肠内营养管道堵塞的护理干预效果。方法选择2014年1月至2017年12月于我院住院的62例堵管患儿为研究对象,随机分成观察组和对照组,分别采用不同容量注射器5ml和10ml为冲管工具,比较两组患儿的一次堵管再通例数、一次再通成功率、非计划拔管率和护士处理堵管总耗时。结果两组一次堵管再通例数,一次再通成功率和非计划拔管率比较,差异无统计学意义(P>0.05);对照组护士处理堵管总耗时高于观察组[(8.2±1.2)h如(7.2±0.9)h,P<0.05]。结论5ml小容量注射器作为堵管后冲管工具对护士而言不仅省力还节省总耗时,可以提高护士工作效率。

Objective To explore the nursing intervention effects of different volume syringe on flushing the jejunum nutrient tube for enteral nutrition pipeline obstruction among pediatric patients. Methods 62 pediatric patients with pipe plugging were selected and randomly divided into observation group and control group. Different volume syringes as 5 ml and 10 ml were used as punching tools respectively. The cases of recanalization, the rate of one time recanalization, the rate of unplanned extubation and the total time for nurse treatment of pipe plugging were compared between the two groups. Results There were no significant difference in the cases of recanalization ,the rate of one time recanalization and unplanned extubation between the two groups (P>0.05). The total time for nurse treatment of pipe plugging in the control group was higher than that in the observation group [(8. 2± 1. 2) h vs.(7. 2±0.9) h, P<0.05]. Conclusion 5 ml volume syringe as a tube washing tool after pipeline obstruction, can not only save labors but also save time, which can improve the work efficiency of nurses.