预见性护理干预对重症监护室鼻饲患者住院时间和并发症的影响

Effect of Predictive Nursing Intervention on Hospitalization Time and Complications of Patients with Respiratory Intensive Care Unit

目的分析预见性护理干预方法应用在重症监护室进行鼻饲的患者中对其并发症和住院时间的影响。方法选择2018年1月至2019年3月于我院重症监护室进行鼻饲的60例患者作为观察组,另外选择同期于我院重症监护室进行鼻饲的60例患者作为对照组,对两组患者分别予以预见性护理和常规护理,对不同护理的效果进行比较。结果观察组患者经护理后的满意度为98.33%(59/60),对照组为66.67%(40/60),P<0.05;观察组并发症发生率为5.00%(3/60),对照组为25.00%(15/60),P<0.05;两组患者营养不良率对比,观察组轻度营养不良率较对照组更高,中重度营养不良率较对照组更低,P<0.05;两组患者干预前SGRQ评分无明显区别(P>0.05);干预后两组患者的SGRQ评分均下降,相比对照组,观察组患者干预后呼吸症状、疾病影响、活动受限评分均更低,P<0.05;观察组经过护理后的重症监护时间与住院时间明显短于对照组,P<0.05。结论通过预见性护理方案对重症监护室进行鼻饲的患者进行护理指导,利于减轻患者的营养不良程度,缩短重症监护时间、住院时间,有效降低并发症发生率,全面提升生活质量,提高患者的满意度。

Objective To analyze the influence of predictive nursing interventions on patient complications and hospitalization time in patients with nasal feeding in respiratory intensive care unit.Methods A total of 60 patients who underwent nasal feeding from the intensive care unit of our hospital from January 2018 to March 2019 were selected as the observation group,60 patients who underwent nasal feeding in the intensive care unit of our hospital as the control group were selected as the control group.The effects of different cares were compared with pre-existing care and routine care.Results After nursing,the satisfaction of patients in the observation group was 98.33%(59/60),and that in the control group was 66.67%(40/60),P<0.05.The incidence of complications was 5.00%(3/60)in the observation group and 25.00%(15/60)in the control group(P<0.05).The mild malnutrition rate in the observation group was higher than that in the control group,the moderate and sevre malnutrition rate were lower than that in the control group(P<0.05).There was no significant difference in SGRQ score between the two groups before intervention(P>0.05).After the intervention,the SGRQ scores of all patients were adjusted,compared with the control group,the respiratory symptoms,disease impact and activity limitation total score of the observation group were significantly lower after the intervention(P<0.05).The intensive care time and hospitalization time in the observation group were significantly shorter than those in the control group(P<0.05).Conclusion Nursing guidance for patients with nasal feeding in intensive care unit through predictive nursing scheme plays an obvious role in reducing the degree of malnutrition.It can not only shorten the time of severe illness,but also reduce the whole hospitalization time,effectively reduce the incidence of complications,comprehensively improve the quality of life and improve the satisfaction of patients.