营养风险评估联合个体化肠内营养干预在急性脑梗死后昏迷患者饮食护理中的应用

Application of nutritional risk assessment combined with individualized enteral nutrition intervention in dietary nursing of comatose patients after acute cerebral infarction

目的探讨营养风险评估与个体化肠内营养干预联合对急性脑梗死后昏迷患者饮食护理中的应用效果。方法选择本院2020年2月至2021年2月收治的急性脑梗死昏迷患者91例,按照护理方案不同分为对照组(n=45)和联合组(n=46),对照组予以常规肠内营养干预,联合组予以营养风险评估联合个体化肠内营养干预。比较两组患者不良反应发生率、康复进程、干预前后营养风险及生活质量[生活质量综合评定问卷(GQOL-74)]。结果联合组不良反应发生率低于对照组(P<0.05);联合组机械通气时间、肠功能恢复时间、住院时间短于对照组(P<0.05);干预后联合组营养风险评估量表≥3分发生率低于对照组,<3分发生率高于对照组(P<0.05);干预后联合组GQOL-74评分高于对照组(P<0.05)。结论营养风险评估联合个体化肠内营养干预能促进急性脑梗死后昏迷患者快速康复,降低不良反应发生率及营养风险,可提高患者的生活质量。

Objective To investigate the effects of nutritional risk assessment combined with individualized enteral nutrition intervention in dietary nursing of comatose patients after acute cerebral infarction.Methods From February 2020 to February 2021,91 patients with acute cerebral infarction coma in our hospital were selected and divided into the control group(n=45)and the combined group(n=46)according to different nursing methods.The control group received routine enteral nutrition intervention,and the combined group received nutritional risk assessment combined with individualized enteral nutrition intervention.The incidence of adverse reactions,rehabilitation process,nutritional risk and quality of life(GQOL-74)before and after intervention were compared between the two groups.Results The incidence of adverse reactions in combined group was lower than that in the control group(P<0.05).The mechanical ventilation time,intestinal function recovery time and hospital stay time in the combined group were shorter than those in the control group(P<0.05).After intervention,the incidence of nutritional risk score≥3 points in the combined group was lower than that in the control group,and the incidence of nutritional risk score<3 points was higher than that in the control group(P<0.05).After intervention,the GQOL-74 score in the combined group was higher than that in the control group(P<0.05).Conclusion Nutritional risk assessment combined with individualized enteral nutrition intervention can promote the rapid recovery of comatose patients after acute cerebral infarction,reduce their incidence of adverse reactions and nutritional risks,and improve the quality of life of patients.