团体责任制康复护理模式在预防重症患者长期肠内营养不耐受中的应用效果

Application effect of group responsibility rehabilitation nursing model on preventing long-term enteral nutrition intolerance in critically ill patients

目的探讨团体责任制康复护理方案在预防重症患者长期肠内营养不耐受中的应用价值。方法选取2021年1月至2022年1月南华大学衡阳医学院附属第二医院收治并符合纳入标准的94例重症监护病房(ICU)重症肠内营养支持患者为研究对象,按照随机数字表法分为对照组(47例)和观察组(47例)。对照组采用常规护理模式,观察组采用团体责任制康复护理模式,观察两组患者营养状况,喂养不耐受情况,护理前后生存质量评分表评分,管道堵塞、脱落及喂养中断发生率。结果观察组干预第7天血清白蛋白、血红蛋白、血清前白蛋白高于对照组,差异有统计学意义(P<0.05);观察组喂养不耐受症状总发生率和喂养中断发生率均低于对照组,差异有统计学意义(P<0.05);观察组护理后生存质量评分高于对照组,差异有统计学意义(P<0.05)。结论团体责任制康复护理模式相较于常规护理能切实改善重症肠内营养支持患者的营养状况,减少喂养中断次数,预防肠内营养不耐受症状的发生,改善重症患者的生存质量。

Objective To explore the application value of group responsibility rehabilitation nursing regimen on the prevention of long-term enteral nutrition intolerance in critically ill patients.Methods A total of 94 critically ill patients with enteral nutrition support in intensive care unit(ICU)who were treated in the Second Affiliated Hospital of Hengyang Medical School of University of South China and met the inclusion criteria from January 2021 to January 2022 were selected as the research subjects.According to the random number table method,the patients were divided into control group(47 cases)and observation group(47 cases).The control group was given routine nursing model while the observation group was given group responsibility rehabilitation nursing model.The nutritional status,feeding intolerance,quality of life score before and after nursing,incidences of pipe blockage,shedding and feeding interruptions were observed in the two groups.Results On the 7th day of intervention,the levels of serum albumin,hemoglobin and serum prealbumin in observation group were higher than those in control group,the differences were statistically significant(P<0.05).The total incidence of feeding intolerance symptoms and the incidence of feeding interruption in observation group were lower than those in control group,the differences were statistically significant(P<0.05).The score of quality of life in observation group after nursing was higher than that of control group,the difference was statistically significant(P<0.05).Conclusion Compared with routine nursing,group responsibility rehabilitation nursing model can more effectively improve the nutritional status of critically ill patients with enteral nutrition support,reduce the number of feeding interruptions,prevent the occurrence of enteral nutrition intolerance symptoms,and improve the quality of life.