重症脑梗死病患肠内营养误吸的原因探讨及护理途径

Reasons and nursing ways of enteral nutrition aspiration in patients with severe cerebral infarction

目的探讨分析重症脑梗死病患肠内营养误吸的原因及护理途径。方法将在我院治疗的80例重症脑梗死患者选为本次研究对象,收治时间为2012年11月至2016年11月,使用数字表法将其分为传统组(40例)和研究组(40例)。传统组患者接受传统护理模式,研究组患者则在此基础上实施整体性护理干预。将两组患者的营养误吸发生率、并发症发生情况以及家属护理满意度情况进行比较。结果研究组患者的营养误吸发生率为15.00%,低于传统组的35.00%(P<0.05)。研究组患者呕吐发生率为2.50%,反流发生率为5.00%,吸入性肺炎发生率为7.50%,均分别低于传统组的17.50%、20.00%和25.00%(P<0.05)。研究组患者家属护理满意度为97.50%,高于传统组的82.50%(P<0.05)。结论对于重症脑梗死患者,整体性护理干预可降低其营养误吸以及呕吐、反流等并发症的发生率,对提高患者的护理满意度具有积极意义。

Objective To explore the reasons and nursing ways of enteral nutrition aspiration in patients with severe cerebral infarction.Methods From November 2012 to November 2016,80 patients with severe cerebral infarction treated in our hospital were selected as the study subjects,and divided into traditional group(40 cases)and study group(40 cases)according to random number table.Patients in the traditional group received traditional nursing,and the study group re原ceived holistic nursing intervention on the basis of the traditional group.The nutrition aspiration rate,complications and nursing satisfaction were compared in the two groups.Results The rate of nutritional aspiration in the study group was 15.00%,which was lower than 35.00%of the traditional group(P<0.05).The incidences of vomiting,regurgitation and as原piration pneumonia in the study group were 2.50%,5.00%and 7.50%respectively,which were lower than 17.50%,20.00%and 25.00%in the traditional group(P<0.05).The satisfaction of family members in the study group was 97.50%,which was higher than 82.50%of the traditional group(P<0.05).Conclusion For patients with severe cerebral infarction,holistic nursing intervention can reduce the incidences of nutrition aspiration vomiting and regurgitation,which has great signifi原cance to improve the nursing satisfaction of patients.