预见性护理在预防新生儿肠内喂养误吸应用观察

Application observation of predictive nursing in prevention of aspiration by mistake with enteral feeding in neonates

目的观察预见性护理在预防新生儿肠内喂养误吸中的应用效果。方法选取2017年1-12月广州市番禺区何贤纪念医院收治的104例需给予肠内营养的新生儿,采用随机数字表法分为观察组和对照组各52例,对照组给予常规护理,观察组在此基础上实施预见性护理。比较两组新生儿误吸率、病死率以及肠内喂养并发症(呕吐、喂养不耐受、吸入型肺炎)的发生率。结果观察组患儿误吸率明显低于对照组,差异有统计学意义(P<0.05);两组病死率及肠内喂养并发呕吐、喂养不耐受的发生率差异无统计学意义(P>0.05);观察组吸入型肺炎发生率低于对照组,差异有统计学意义(P<0.05)。结论新生儿肠内喂养实施预见性护理有助于降低误吸以及肠内喂养并发症的发生率,值得临床推广应用。

Objective To observe the effect of predictive nursing in prevention of aspiration by mistake with enteral feeding in neonates. Methods From January to December 2017, 104 newborns who needed enteral nutrition were selected from He Xian Memorial Hospital, Panyu District, Guangzhou, and divided into ob servation group and control group with 52 cases in each group, according to random number table method. The control group was given routine nursing care, and the observation group was given predictive nursing care. The rates of aspiration by mistake, mortality and complications of enteral feeding(vomiting,feeding intolerance, aspiration pneumonia) were compared between the two groups. Results The rate of aspiration by mistake in the observation group was lower than that in the control group, the difference was statistically significant(P<0.05). There were no significant differences in mortality and incidence of vomiting and feeding intolerance between the two groups(P>0.05). The incidence of aspiration pneumonia in the observation group was lower than that in the control group, the difference was statistically significant(P<0.05).Conclusion The application of predictive nursing in neonatal enteral feeding was helpful to reduce the incidence of aspiration by mistake and enteral feeding complications, which was worthy of clinical application.