重症监护室患者肠内营养相关性腹泻的影响因素及护理体会

The Effect of Enteral Nutrition Related Diarrhea in ICU Patients and Nursing Experience

目的总结重症监护室(ICU)肠内营养相关性腹泻影响因素、护理干预方案,为ICU肠内营养工作的开展提供参考。方法选择我院ICU近年行肠内营养的70例患者作为研究对象。将其随机分为对照组与观察组。对照组患者采取常规护理,观察组患者在常规护理的基础上,加行集束化护理。对比两组ICU肠内营养患者腹泻发生率以及护理满意度、住院时间。结果观察组ICU肠内营养患者腹泻发生率低于对照组,住院时间短于对照组,且护理满意度高于对照组,组间各数据比较,差异具有统计学意义(P<0.05)。结论综合腹泻影响因素进行集束化护理预防干预可以降低肠内营养相关性腹泻发生率,提高ICU患者的肠内营养耐受性、治疗以及预后。

Objective To summarize the influencing factors of enteral nutrition related diarrhea in ICU and the nursing intervention plan, so as to provide references for the development of enteral nutrition in ICU. Methods 70 cases of enteral nutrition in our hospital in recent years were selected as the study subjects of ICU. They were randomly divided into control group and observation group. Patients in the control group received routine care. On the basis of routine nursing care, patients in the observation group added bundled care. The incidence of diarrhea and nursing satisfaction and length of stay in two groups of ICU enteral nutrition patients were compared. Results The incidence of diarrhea in the observation group was lower than that in the control group, and the hospitalization time was shorter than that in the control group, and the degree of satisfaction with nursing was higher than that in the control group. The diference was statistically signifcant （P〈 0.05）. Conclusion Cluster nursing intervention based on comprehensive infuencing factors of diarrhea can reduce the incidence of enteral nutrition-related diarrhea and improve the enteral nutrition tolerance, treatment and prognosis of ICU patients.