ICU颅脑外伤患者床旁盲插鼻肠管护理方案的循证构建及实施效果

Evidence-based Constriction and Implementation Effect of Nursing Care Plan for Bedside Blind Placement of Nasal-intestinal Tube in ICU Patients with Craniocerebral Trauma

目的:探讨ICU颅脑外伤患者床旁盲插鼻肠管护理方案的循证构建及实施效果。方法:选取2020年4月1日~2021年4月30日118例ICU颅脑外伤患者根据倾向性评估结果分为对照组和观察组各59例,两组均给予床旁盲插鼻肠管,对照组采取床旁盲插鼻肠管常规护理,观察组采取循证构建的床旁盲插鼻肠管护理方案;比较两组护理效果。结果:两组护理后免疫指标、营养指标优于护理前(P<0.05),观察组护理后免疫指标、营养指标优于对照组(P<0.05);观察组护理效果优于对照组(P<0.05),临床指标改善时间短于对照组(P<0.05),并发症发生率低于对照组(P<0.05)。结论:循证构建床旁盲插鼻肠管护理方案可减少ICU颅脑外伤患者置管并发症,提高首次置管成功率,避免治疗中出现脱管、移位、堵管等情况,改善机体营养状态,提高免疫指标水平。

Objective:To explore the evidence-based constriction and implementation effect of nursing care plan for bedside blind placement of nasal-intestinal tube in ICU patients with craniocerebral trauma.Methods:A total of 118 ICU patients with craniocerebral trauma were selected during April 1,2020 to April 30,2021 and according to the orientation evaluation results were divided into the control group and the observation group each with 59 cases.The two groups were given bedside blind placement if nasal-intestinal tube,the control group adopted the bedside blind placement of nasal-intestinal tube routine nursing care,the observation group adopted evidence-based constructed nursing care plan for bedside blind placement of nasal-intestinal tube.Comparison was made between the two groups on nursing effect.Results:The immune index and nutrition index were better in the two groups after nursing than those before nursing(P<0.05),the immune index and nutrition index were better in the observation group after nursing than those in the control group(P<0.05).The nursing effect in the observation group was better than that in the control group(P<0.05)and the time of clinical index improvement was shorter in the observation group than that in the control group(P<0.05),and the incidence of complications was lower than that in the control group(P<0.05).Conclusion:Evidence-based constructed nursing care plan for bedside blind placement of nasal-intestinal tube can reduce complications in ICU patients with craniocerebral trauma,improve the success rate for the first time,avoid the decannulation,displacement and plugging of tubes,shift,improve the body′s nutritional status,and improve the level of immune indexes.