护理程序在烧伤早期肠内营养支持中的应用

The application of nursing process to the support of early enteral nutrition in burned patients

目的:探讨护理程序对重症烧伤病人早期肠内营养支持的影响。方法:选择97例重症烧伤病人用鼻胃(肠)管留置营养液持续滴注法实施早期肠内营养,按不同时期分为A组和B组。A组未应用护理程序,B组应用护理程序;观察并比较两组对肠内营养的耐受程度、体重变化、血清清蛋白水平、并发症的发生率、创面基本愈合时间及治愈率。结果:B组较A组对肠内营养耐受程度高,体重增加快,血清清蛋白水平高,肠内营养并发症发生率低,创面基本愈合时间短,但治愈率无显著差异。结论:重症烧伤病人在实施早期肠内营养过程中,应用护理程序能改善其营养状况,减少肠内营养并发症,促使病人早日康复。

Objective： To investigate the effects of nursing process on the support of early enteral nutrition（EEN） in severely burned patients. Methods： EEN was carried out in 97 patients with severe burns by retention of naso-gastric （intestinal） feeding tube and continuous drip of nutritious fluid. 97 patients were divided by different periods into two groups ： group A and group B. The nursing process was used in group B. A series of parameters including the bearing to enteral nutrition, the patients＇ nourishment, the occurance rate of complication, the time of wound healing and the cure rate were observed and analysed. Results ： The bearing to EEN of the patients in group B was better than that in group A （P 〈 0.05 ）, the increase of body weight in group B was markedly higher than that in group A （ P 〈 0.05 ）, the level of serum albumin in group B was markedly higher than that in group A （P 〈 0.05 ）, the rate of complications of EEN in group B was markedly lower than that in group A （ P 〈 0.05 ） , and the time of wound healing in group B was markedly shorter than that in group A （ P 〈 0.05 ）. Conclusion ： The nursing process used in the support of EEN in severely burned patients could improve the patients＇ nourishment, reduce the rate of complications of EEN and prompt their recovery earlier.